BRIDGEWOOD, LLC

NPI: 1982482832 · BRONX, NY 10467 · Assisted Living Facility · NPI assigned 09/20/2023

$519K

Total Medicaid Paid

57,370

Total Claims

2,129

Beneficiaries

Codes Billed

2023-12

First Month

2024-11

Last Month

Provider Details

Authorized Official	GRAJALES, JENNIFER (COMPLIANCE OFFICER)
NPI Enumeration Date	09/20/2023

Other providers sharing the same authorized official: GRAJALES, JENNIFER

Provider	City	State	Total Paid
THE W GROUP AT NEW BROADVIEW, LLC	STATEN ISLAND	NY	$5.05M
GRAND COURT W OPCO LLC	POMPANO BEACH	FL	$2.55M

Year	Claims	Total Paid
2023	1,027	$8K
2024	56,343	$510K

Code	Description	Claims	Beneficiaries	Total Paid
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	56,437	1,530	$434K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	933	599	$84K