Public record

Medicare Skilled Nursing Payments by Provider

Prvdr id: 056180 · 1 matching record

Year
2024
Year type
FY
Smry ctgry
PROVIDER
Srvc ctgry
SNF
Prvdr id
056180
Prvdr name
Lake Balboa Care Center
Prvdr city
Van Nuys
State
CA
Prvdr zip
91406
Bene dstnct cnt
409
Tot epsd stay cnt
485
Tot srvc days
15321
Tot chrg amt
14095202
Tot alowd amt
13835258
Tot mdcr pymt amt
11952470
Tot mdcr stdzd pymt amt
9623057
Bene dual pct
45
Bene rrl pct
0
Bene avg age
82
Bene male pct
39
Bene feml pct
61
Bene race wht pct
76
Bene race black pct
3
Bene race api pct
7
Bene race hspnc pct
8
Bene race natind pct
*
Bene race unk pct
4
Bene race othr pct
*
Bene avg risk scre
3.04
Bene cc bh adhd othcd v1 pct
*
Bene cc bh alcohol drug v1 pct
13
Bene cc bh alz nonalzdem v2 pct
49
Bene cc bh anxiety v1 pct
57
Bene cc bh bipolar v1 pct
19
Bene cc bh depress v1 pct
64
Bene cc bh mood v2 pct
73
Bene cc bh pd v1 pct
4
Bene cc bh ptsd v1 pct
3
Bene cc bh schizo othpsy v1 pct
21
Bene cc bh tobacco v1 pct
14
Bene cc ph afib v2 pct
44
Bene cc ph arthritis v2 pct
84
Bene cc ph asthma v2 pct
21
Bene cc ph cancer6 v2 pct
26
Bene cc ph ckd v2 pct
59
Bene cc ph copd v2 pct
40
Bene cc ph diabetes v2 pct
60
Bene cc ph hf nonihd v2 pct
62
Bene cc ph hyperlipidemia v2 pct
94
Bene cc ph hypertension v2 pct
97
Bene cc ph ischemicheart v2 pct
64
Bene cc ph osteoporosis v2 pct
36
Bene cc ph parkinson v2 pct
11
Bene cc ph stroke tia v2 pct
39
Prmry dx infctn pct
5
Prmry dx neobld pct
*
Prmry dx endonutrmet pct
*
Prmry dx mntbehneudis pct
*
Prmry dx nervsystm pct
18
Prmry dx entsys pct
0
Prmry dx circsystm pct
8
Prmry dx rspsystm pct
11
Prmry dx digsystm pct
*
Prmry dx sknmussystm pct
15
Prmry dx gusystm pct
4
Prmry dx prgpericong pct
0
Prmry dx sxilldef pct
*
Prmry dx injpois pct
18
Prmry dx hlthsrv pct
18

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