Nursing facility
Pine Street SNF, LLC
Pine Street SNF, LLC was paid $262K by Medicaid between Jul 2024 and Jul 2024, across 4 billing codes. Its largest line is 0120, — 52% of everything it billed.
33Billing provider infoPINE STREET SNF, LLC
SAN FRANCISCO, CA 94109
SAN FRANCISCO, CA 94109
33aNPI1972201598assigned 02/22/2023
33bProvider typeSkilled Nursing Facility
28Total paid$262K
24GClaims85
24DCodes billed4
24AFirst – last monthJul 2024 – Jul 2024
Compared with peers
Next to other Skilled Nursing Facility providers in California
Rank by total paid#152 of 547
Median peer was paid$73K
This provider vs. median3.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 85 | $262K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0120 | 52% | 23 | 21 | $137K | |
| 0250 | 19% | 20 | 20 | $49K | |
| 0430 | 14% | 21 | 19 | $38K | |
| 0420 | 14% | 21 | 19 | $38K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMITCHELL, JOHN (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Mitchell Dental Clinic, INC | Macon, MS | $1.63M |
| Mitchell Dental Clinic, INC | Ackerman, MS | $969K |
| Balboa Healthcare, INC. | San Diego, CA | $812K |
| Cantaloupe Holdings, LLC | Santa Monica, CA | $737K |
| Pleasant Hillidence Opco, LLC | Pleasant Hill, CA | $617K |
| West Valleyidence Opco, LLC | West Hills, CA | $454K |
| Kumquat Holdings, LLC | Inglewood, CA | $119K |
| Mitchell Dental Clinic, INC | Flowood, MS | $86K |
| Cucumber Holdings, LLC | Chatsworth, CA | $68K |
| Ontarioidence Opco, LLC | Ontario, CA | $51K |
| Dragonfruit Holdings, LLC | San Jose, CA | $50K |
| Oral and Maxillofacial Surgery Associate of New Mexico, P.A. | Albuquerque, NM | $49K |
| Petunia Holdings, LLC | Napa, CA | $45K |
| Magnolia Holdings, LLC | Anderson, CA | $32K |
| Douglas Fir Holdings, LLC | Huntington Beach, CA | $24K |
| Petalumaidence Opco, LLC | Petaluma, CA | $18K |
| Napaidence Opco, LLC | Napa, CA | $17K |
| Norway Maple Holdings, LLC | Newport Beach, CA | $16K |
| Santa Rosaidence Opco, LLC | Santa Rosa, CA | $15K |
| Spruce Holdings, LLC | Visalia, CA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.