- Year
- 2024
- Year type
- FY
- Smry ctgry
- PROVIDER
- Srvc ctgry
- SNF
- Prvdr id
- 335239
- Prvdr name
- Clove Lakes Health Care And Rehab Center, Inc
- Prvdr city
- Staten Island
- State
- NY
- Prvdr zip
- 10314
- Bene dstnct cnt
- 534
- Tot epsd stay cnt
- 665
- Tot srvc days
- 25822
- Tot chrg amt
- 16921171
- Tot alowd amt
- 22707074
- Tot mdcr pymt amt
- 18720598
- Tot mdcr stdzd pymt amt
- 14459655
- Bene dual pct
- 59
- Bene rrl pct
- *
- Bene avg age
- 77
- Bene male pct
- 40
- Bene feml pct
- 60
- Bene race wht pct
- 72
- Bene race black pct
- 10
- Bene race api pct
- 6
- Bene race hspnc pct
- 9
- Bene race natind pct
- 0
- Bene race unk pct
- *
- Bene race othr pct
- *
- Bene avg risk scre
- 3.61
- Bene cc bh adhd othcd v1 pct
- 2
- Bene cc bh alcohol drug v1 pct
- 10
- Bene cc bh alz nonalzdem v2 pct
- 36
- Bene cc bh anxiety v1 pct
- 43
- Bene cc bh bipolar v1 pct
- 10
- Bene cc bh depress v1 pct
- 46
- Bene cc bh mood v2 pct
- 57
- Bene cc bh pd v1 pct
- 2
- Bene cc bh ptsd v1 pct
- *
- Bene cc bh schizo othpsy v1 pct
- 10
- Bene cc bh tobacco v1 pct
- 12
- Bene cc ph afib v2 pct
- 39
- Bene cc ph arthritis v2 pct
- 63
- Bene cc ph asthma v2 pct
- 17
- Bene cc ph cancer6 v2 pct
- 19
- Bene cc ph ckd v2 pct
- 54
- Bene cc ph copd v2 pct
- 41
- Bene cc ph diabetes v2 pct
- 67
- Bene cc ph hf nonihd v2 pct
- 54
- Bene cc ph hyperlipidemia v2 pct
- 87
- Bene cc ph hypertension v2 pct
- 96
- Bene cc ph ischemicheart v2 pct
- 58
- Bene cc ph osteoporosis v2 pct
- 13
- Bene cc ph parkinson v2 pct
- 5
- Bene cc ph stroke tia v2 pct
- 42
- Prmry dx infctn pct
- *
- Prmry dx neobld pct
- 3
- Prmry dx endonutrmet pct
- 2
- Prmry dx mntbehneudis pct
- *
- Prmry dx nervsystm pct
- 11
- Prmry dx entsys pct
- 0
- Prmry dx circsystm pct
- 12
- Prmry dx rspsystm pct
- 14
- Prmry dx digsystm pct
- 2
- Prmry dx sknmussystm pct
- 14
- Prmry dx gusystm pct
- 8
- Prmry dx prgpericong pct
- 0
- Prmry dx sxilldef pct
- 2
- Prmry dx injpois pct
- 21
- Prmry dx hlthsrv pct
- 9