Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PINE STREET SNF, LLC

NPI: 1972201598 · SAN FRANCISCO, CA 94109 · Skilled Nursing Facility · NPI assigned 02/22/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more

$262K
Total Medicaid Paid
85
Total Claims
79
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMITCHELL, JOHN (SECRETARY)
NPI Enumeration Date02/22/2023

Related Entities

Other providers sharing the same authorized official: MITCHELL, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 85 $262K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0120 23 21 $137K
0250 20 20 $49K
0430 21 19 $38K
0420 21 19 $38K