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Supplemental Ventilator Care and Tracheostomy Care Payments
Supplemental Ventilator Care and Tracheostomy Care payments will be made to qualifying MA nonpublic and county nursing facilities each calendar quarter effective July 1, 2014 based on the following:
A nonpublic and county nursing facility will qualify for the payment if both of the following criteria are met based on each Picture Date:
(A) The facility has a minimum of ten MA-recipient residents who receive medically necessary ventilator care or trachestomy care; and
(B) The facility has a minimum of 10% of their MA-recipient resident population receiving medically necessary ventilator care or tracheostomy care.
The determination of medically necessary ventilator care is based on whether there is a positive response to MDS 3.0 Section O0100F1 or O0100F2 on the MDS assessment identified on the Picture Date CMI Report. The determination of medically necessary tracheostomy care is based on whether there is a positive response to MDS 3.0 Section O0100E1 or O0100E2 on the MDS assessment identified on the Picture Date CMI Report.
The Supplemental ventilator care and tracheostomy care per diem shall equal ((number of MA-recipient residents who receive necessary ventilator care or tracheostomy care/total MA-recipient residents) x $69) x (the number of MA recipient residents who receive necessary ventilator care or tracheostomy care/total MA-recipient residents). The quarterly payment shall equal the supplemental ventilator care and tracheostomy care per diem multiplied by the number of paid MA facility and therapeutic leave days.
Paid Facility and
Picture Date Authorization
Schedule Therapeutic Leave Day
Quarter February 1 September January 1 – March 31 May 1 December April 1 – June 30 August 1 March July 1 – September 30 November 1 June October 1 – December 31
Supplemental Ventilator Care and Tracheostomy Care
Payments for December:
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
ABINGTON CREST HEALTH AND REHAB CENTER 3 55 5% 4,828 $0.00 12/11/2017
ABINGTON MANOR 0 74 0% 6,896 $0.00 12/11/2017
ABRAMSON RESIDENCE 0 178 0% 17,045 $0.00 12/11/2017
ALLIED SERVICES SKILLED NURSING CENTER 26 243 11% 22,653 $18,801.99 12/11/2017
ALTOONA CENTER FOR NURSING CARE 1 79 1% 6,712 $0.00 12/11/2017
AMBLER EXTENDED CARE CENTER 0 73 0% 6,822 $0.00 12/11/2017
ANN'S CHOICE 0 6 0% 583 $0.00 12/11/2017
ARBUTUS PARK MANOR 0 86 0% 8,128 $0.00 12/11/2017
ARISTACARE AT MEADOW SPRINGS 76 112 68% 10,473 $334,193.43 12/11/2017
ARTMAN LUTHERAN HOME 0 15 0% 1,577 $0.00 12/11/2017
ASBURY HEALTH CENTER 0 52 0% 4,945 $0.00 12/11/2017
ATHENS HEALTH AND REHABILITATION CENTER 0 44 0% 3,893 $0.00 12/11/2017
ATTLEBORO NURSING AND REHAB CENTER 1 107 1% 8,977 $0.00 12/11/2017
AVALON NURSING CENTER 0 64 0% 5,605 $0.00 12/11/2017
AVALON SPRINGS NURSING CENTER 0 77 0% 7,004 $0.00 12/11/2017
BALA NURSING AND RETIREMENT CENTER 2 151 1% 13,731 $0.00 12/11/2017
BALDWIN HEALTH CENTER 1 131 1% 12,630 $0.00 12/11/2017
BALL PAVILION, THE 0 46 0% 4,348 $0.00 12/11/2017
BAPTIST HOMES OF WESTERN PENNSYLVANIA 0 82 0% 7,616 $0.00 12/11/2017
BARCLAY FRIENDS 0 20 0% 1,848 $0.00 12/11/2017
BARNES‐KASSON COUNTY HOSPITAL SNF 0 32 0% 3,064 $0.00 12/11/2017
BEACON RIDGE, A CHOICE COMMUNITY 0 60 0% 5,483 $0.00 12/11/2017
BEAVER HEALTHCARE AND REHABILITATION CTR 0 38 0% 3,776 $0.00 12/11/2017
BEAVER VALLEY HEALTH AND REHAB CENTER 0 80 0% 6,974 $0.00 12/11/2017
BELAIR HEALTH AND REHABILITATION CENTER 0 55 0% 5,311 $0.00 12/11/2017
BELLE HAVEN HEALTHCARE & REHAB CENTER 1 41 2% 3,821 $0.00 12/11/2017
BELLE REVE HEALTH CARE CENTER 0 8 0% 637 $0.00 12/11/2017
BERKS HEIM NURSING & REHABILITATION 0 301 0% 28,610 $0.00 12/11/2017
BERKSHIRE CENTER 0 78 0% 7,581 $0.00 12/11/2017
BERWICK RETIREMENT VILLAGE NRSNG HOME I 0 30 0% 2,601 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
BERWICK RETIREMENT VILLAGE NRSNG HOME II 0 59 0% 5,497 $0.00 12/11/2017
BETHANY VILLAGE RETIREMENT CENTER 0 19 0% 1,803 $0.00 12/11/2017
BETHLEN HM OF THE HUNGARIAN RFRMD FED 0 45 0% 4,552 $0.00 12/11/2017
BIRCHWOOD NURSING AND REHAB CENTER 0 80 0% 7,628 $0.00 12/11/2017
BLOOMSBURG HEALTH CARE CENTER 0 88 0% 7,974 $0.00 12/11/2017
BONHAM NURSING CENTER 0 58 0% 5,181 $0.00 12/11/2017
BRADFORD COUNTY MANOR 1 126 1% 11,619 $0.00 12/11/2017
BRADFORD ECUMENICAL HOME, INC 0 64 0% 6,005 $0.00 12/11/2017
BRADFORD MANOR 0 70 0% 6,880 $0.00 12/11/2017
BRANDYWINE HALL 1 137 1% 12,515 $0.00 12/11/2017
BRETHREN VILLAGE 0 41 0% 3,634 $0.00 12/11/2017
BRIARLEAF NURSING AND CONVAL CENTER 0 146 0% 13,321 $0.00 12/11/2017
BRIDGEVILLE REHAB AND CARE CENTER 0 66 0% 6,805 $0.00 12/11/2017
BRIGHTON REHABILITATION & WELLNESS CTR 9 355 3% 32,234 $0.00 12/11/2017
BRINTON MANOR 0 64 0% 5,602 $0.00 12/11/2017
BROAD ACRES HEALTH AND REHAB CENTER 0 71 0% 6,299 $0.00 12/11/2017
BROAD MOUNTAIN HEALTH AND REHAB CENTER 1 82 1% 7,896 $0.00 12/11/2017
BROOKLINE MANOR AND REHABILITATIVE SRVCS 0 48 0% 4,795 $0.00 12/11/2017
BROOKMONT HEALTHCARE CENTER LLC 0 72 0% 6,835 $0.00 12/11/2017
BROOKSIDE HEALTHCARE AND REHAB CENTER 1 78 1% 7,484 $0.00 12/11/2017
Brookview Health Care Center 0 52 0% 5,156 $0.00 12/11/2017
BROOMALL MANOR 1 62 2% 5,714 $0.00 12/11/2017
BROOMALL PRESBYTERIAN VILLAGE 0 71 0% 7,313 $0.00 12/11/2017
BROOMALL REHAB AND NURSING CENTER 0 180 0% 17,428 $0.00 12/11/2017
BRYN MAWR EXTENDED CARE CENTER 2 109 2% 10,209 $0.00 12/11/2017
BUCKINGHAM VALLEY REHAB AND NURSING CTR 0 70 0% 6,864 $0.00 12/11/2017
BUCKTAIL MEDICAL CENTER 0 33 0% 2,903 $0.00 12/11/2017
BUFFALO VALLEY LUTHERAN VILLAGE 0 65 0% 5,991 $0.00 12/11/2017
CALVARY FELLOWSHIP HOMES, INC 0 19 0% 2,232 $0.00 12/11/2017
CAMBRIA CARE CENTER 15 211 7% 17,042 $0.00 12/11/2017
CANTERBURY PLACE 0 45 0% 4,565 $0.00 12/11/2017
CARBONDALE NURSING AND REHAB CENTER 0 75 0% 6,972 $0.00 12/11/2017
CARE PAVILION NURSING AND REHAB CENTER 0 338 0% 27,429 $0.00 12/11/2017
CARING HEART REHAB AND NURSING CENTER 1 152 1% 14,354 $0.00 12/11/2017
CARING HEIGHTS COMMUNITY CARE & REHAB 0 74 0% 6,823 $0.00 12/11/2017
CARING PLACE, THE 0 68 0% 6,299 $0.00 12/11/2017
CARLETON HEALTHCARE & REHABILITATION CTR 0 13 0% 1,336 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
CATHEDRAL VILLAGE 0 29 0% 3,022 $0.00 12/11/2017
CEDAR HAVEN HEALTHCARE CENTER 0 252 0% 24,041 $0.00 12/11/2017
CEDARBROOK NURSING HOMES 1 513 0% 49,612 $0.00 12/11/2017
CENTENNIAL HEALTHCARE & REHAB CENTER 2 126 2% 11,609 $0.00 12/11/2017
CENTRE CREST 1 157 1% 14,692 $0.00 12/11/2017
CHAMBERS POINTE HEALTH CARE CENTER 0 19 0% 1,797 $0.00 12/11/2017
CHANDLER HALL HEALTH SERVICES INC 0 22 0% 2,030 $0.00 12/11/2017
CHAPEL MANOR 0 187 0% 17,234 $0.00 12/11/2017
CHAPEL POINTE AT CARLISLE 0 21 0% 2,240 $0.00 12/11/2017
CHARLES COLE MEMORIAL HOSPITAL ECF 0 24 0% 2,043 $0.00 12/11/2017
CHARLES M. MORRIS NURSING AND REHAB CTR 0 75 0% 6,324 $0.00 12/11/2017
CHELTENHAM NURSING AND REHAB CENTER 3 198 2% 18,217 $0.00 12/11/2017
CHERRY TREE NURSING CENTER 0 69 0% 6,090 $0.00 12/11/2017
CHESTER VALLEY REHAB AND NURSING CENTER 1 116 1% 10,809 $0.00 12/11/2017
CHESTNUT HILL LODGE HEALTH AND REHAB CTR 1 127 1% 11,374 $0.00 12/11/2017
CHESWICK REHAB & WELLNESS CTR LLC 1 67 1% 6,592 $0.00 12/11/2017
CHRIST THE KING MANOR 1 91 1% 7,871 $0.00 12/11/2017
CHRIST'S HOME RETIREMENT COMMUNITY 0 5 0% 425 $0.00 12/11/2017
CHURCH OF GOD HOME, INC 0 46 0% 4,091 $0.00 12/11/2017
CHURCH OF THE BRETHREN HOME 0 71 0% 6,480 $0.00 12/11/2017
CLAREMONT NRC OF CUMBERLAND COUNTY 1 180 1% 17,289 $0.00 12/11/2017
CLARION HEALTHCARE AND REHAB CENTER 0 36 0% 3,418 $0.00 12/11/2017
CLARVIEW NURSING AND REHAB CENTER 1 56 2% 5,284 $0.00 12/11/2017
CLEPPER MANOR 0 36 0% 3,337 $0.00 12/11/2017
CLIVEDEN NSG & REHAB CTR 0 130 0% 12,042 $0.00 12/11/2017
COLONIAL MANOR NURSING HOME 2 167 1% 15,733 $0.00 12/11/2017
COLONIAL PARK CARE CENTER 0 134 0% 12,257 $0.00 12/11/2017
COMMUNITIES AT INDIAN HAVEN 0 56 0% 5,380 $0.00 12/11/2017
CONCORDIA AT THE CEDARS 0 30 0% 3,076 $0.00 12/11/2017 CONCORDIA LUTHERAN HEALTH AND HUMAN CARE 0 68 0% 6,585 $0.00 12/11/2017
CONESTOGA VIEW 12 385 3% 34,959 $0.00 12/11/2017
CONNER‐WILLIAMS NURSING HOME 0 31 0% 2,826 $0.00 12/11/2017
CONTINUING CARE AT MARIS GROVE 0 2 0% 137 $0.00 12/11/2017
CORNWALL MANOR 0 24 0% 2,179 $0.00 12/11/2017
CORRY MANOR 1 71 1% 6,370 $0.00 12/11/2017
COUNTRY MEADOWS NURSING CENTER‐ 0 2 0% 182 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date BETHLEHEM
COUNTRYSIDE CHRISTIAN COMMUNITY 0 19 0% 1,651 $0.00 12/11/2017
COUNTRYSIDE CONVAL HOME LTD PARTNERSHIP 0 22 0% 1,945 $0.00 12/11/2017
COURTYARD GARDENS NURSING AND REHAB CTR 0 50 0% 4,652 $0.00 12/11/2017
CRANBERRY PLACE 1 67 1% 6,301 $0.00 12/11/2017
CRAWFORD COUNTY CARE CENTER 1 93 1% 8,997 $0.00 12/11/2017
CREEKSIDE HEALTH AND REHABILITATION CTR 0 60 0% 5,522 $0.00 12/11/2017
CRESTVIEW CENTER 0 112 0% 10,077 $0.00 12/11/2017
CROSS KEYS VILLAGE‐BRETHREN HM COMM, THE 1 122 1% 11,197 $0.00 12/11/2017
CUMBERLAND CROSSINGS RETIREMENT COMM 0 25 0% 2,381 $0.00 12/11/2017
DARWAY HEALTHCARE & REHABILITATION CTR 1 46 2% 4,121 $0.00 12/11/2017
DEER MEADOWS REHABILITATION CENTER 9 133 7% 12,505 $0.00 12/11/2017
DOCK TERRACE 0 24 0% 2,067 $0.00 12/11/2017
DONAHOE MANOR 1 38 3% 3,368 $0.00 12/11/2017
DOYLESTOWN CARE AND REHABILITATION CTR 3 66 5% 5,942 $0.00 12/11/2017
DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER 0 44 0% 4,036 $0.00 12/11/2017
DRESHER HILL HEALTH AND REHAB CENTER 2 87 2% 8,601 $0.00 12/11/2017
DUBOIS NURSING HOME 0 82 0% 7,952 $0.00 12/11/2017
DUNMORE HEALTH CARE CENTER 0 62 0% 5,849 $0.00 12/11/2017
EDGEHILL NURSING AND REHAB CENTER 0 48 0% 4,704 $0.00 12/11/2017
EDINBORO MANOR 1 80 1% 7,495 $0.00 12/11/2017
EDISON MANOR NURSING AND REHAB CENTER 2 74 3% 6,490 $0.00 12/11/2017
ELDERCREST NURSING CENTER 0 24 0% 2,600 $0.00 12/11/2017
ELIZABETHTOWN HEALTHCARE & REHAB CENTER 0 23 0% 2,403 $0.00 12/11/2017
ELK HAVEN NURSING HOME 0 61 0% 5,753 $0.00 12/11/2017
ELKINS CREST HEALTH AND REHAB CENTER 0 96 0% 9,670 $0.00 12/11/2017
ELLEN MEMORIAL HEALTH CARE CENTER 0 65 0% 5,847 $0.00 12/11/2017
ELM TERRACE GARDENS 0 16 0% 1,838 $0.00 12/11/2017
ELMWOOD GARDENS OF PRESBY SENIOR CARE 0 22 0% 2,630 $0.00 12/11/2017
EMMANUEL CENTER FOR NURSING AND REHAB 0 45 0% 4,335 $0.00 12/11/2017
EPHRATA MANOR 0 66 0% 5,827 $0.00 12/11/2017
EPWORTH HEALTHCARE AND REHAB CENTER 0 61 0% 6,027 $0.00 12/11/2017
EXETER GREENS CARE & REHABILITATION CTR 2 70 3% 7,016 $0.00 12/11/2017
FAIR ACRES GERIATRIC CENTER 1 637 0% 58,404 $0.00 12/11/2017
FAIRMOUNT HOMES 0 42 0% 4,038 $0.00 12/11/2017
FAIRVIEW CARE CENTER OF BETHLEHEM PIKE 0 122 0% 11,698 $0.00 12/11/2017
FAIRVIEW CARE CENTER OF PAPERMILL ROAD 1 95 1% 8,404 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
FAIRVIEW MANOR 0 79 0% 7,581 $0.00 12/11/2017
FALLING SPRING NURSING AND REHAB CENTER 0 113 0% 10,559 $0.00 12/11/2017
FELLOWSHIP MANOR 0 30 0% 3,059 $0.00 12/11/2017
FORBES CENTER FOR REHAB & HEALTHCARE LLC 19 78 24% 7,377 $29,286.69 12/11/2017
FOREST CITY NURSING AND REHAB CENTER 0 65 0% 5,998 $0.00 12/11/2017
FOREST PARK HEALTH CENTER 0 71 0% 7,528 $0.00 12/11/2017
FORESTVIEW 0 21 0% 2,098 $0.00 12/11/2017
FOX SUBACUTE AT CLARA BURKE 40 40 100% 3,912 $269,928.00 12/11/2017
FOX SUBACUTE AT MECHANICSBURG 28 28 100% 2,453 $169,257.00 12/11/2017
FOX SUBACUTE AT SOUTH PHILADELPHIA 0 0 0% 417 $0.00 12/11/2017
FOX SUBACUTE CENTER 36 36 100% 3,292 $227,148.00 12/11/2017
FREDERICK LIVING ‐ CEDARWOOD 0 9 0% 987 $0.00 12/11/2017
FREY VILLAGE 0 64 0% 6,552 $0.00 12/11/2017
FRIENDSHIP VILLAGE OF SOUTH HILLS 0 4 0% 357 $0.00 12/11/2017
FULTON COUNTY MEDICAL CENTER LTCU 0 50 0% 4,704 $0.00 12/11/2017
GARDEN SPOT VILLAGE 0 11 0% 1,123 $0.00 12/11/2017
GARDEN SPRING CENTER 26 121 21% 11,322 $34,418.88 12/11/2017
GARVEY MANOR 0 88 0% 8,034 $0.00 12/11/2017
GERMANTOWN HOME 0 157 0% 10,706 $0.00 12/11/2017
GETTYSBURG CENTER 0 66 0% 6,348 $0.00 12/11/2017
GLENDALE UPTOWN HOME 5 172 3% 16,212 $0.00 12/11/2017
GOOD SHEPHERD HOME RAKER CENTER 12 93 13% 8,257 $9,660.69 12/11/2017
GOOD SHEPHERD HOME‐BETHLEHEM 0 60 0% 5,347 $0.00 12/11/2017
GRACEDALE ‐ NORTHAMPTON COUNTY HOME 1 500 0% 48,922 $0.00 12/11/2017
GRANDVIEW HEALTH HOMES, INC 0 113 0% 10,426 $0.00 12/11/2017
GREEN HOME, INC, THE 0 73 0% 6,949 $0.00 12/11/2017
GREEN RIDGE CARE CENTER 0 52 0% 4,543 $0.00 12/11/2017
GREEN VALLEY SKILLED NSG & REHAB CENTER 0 20 0% 2,019 $0.00 12/11/2017
GREENERY CENTER FOR REHAB & NURSING 6 83 7% 7,470 $0.00 12/11/2017 GREENLEAF NURSING HOME AND CONVAL CENTER 1 106 1% 9,388 $0.00 12/11/2017
GREENSBURG CARE CENTER 0 79 0% 6,072 $0.00 12/11/2017
GROVE MANOR 0 24 0% 2,222 $0.00 12/11/2017
GUARDIAN HEALTHCARE & REHAB CENTER 0 86 0% 7,828 $0.00 12/11/2017
GUTHRIE TOWANDA MEMORIAL HOSPITAL SNU 0 36 0% 3,793 $0.00 12/11/2017
GUY AND MARY FELT MANOR, INC 0 20 0% 1,843 $0.00 12/11/2017
GWYNEDD HEALTHCARE & REHABILITATION CTR 0 136 0% 12,552 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
HAIDA HEALTHCARE AND REHAB CENTER 0 67 0% 5,867 $0.00 12/11/2017
HAMILTON ARMS CENTER 0 59 0% 5,524 $0.00 12/11/2017
HAMPTON HOUSE 0 64 0% 6,253 $0.00 12/11/2017
HANOVER HALL 1 95 1% 8,649 $0.00 12/11/2017
HARMAR VILLAGE CARE CENTER 0 78 0% 7,614 $0.00 12/11/2017
HARMON HOUSE CARE CENTER 1 71 1% 6,198 $0.00 12/11/2017
HARRISON SENIOR LIVING OF CHRISTIANA 0 84 0% 8,195 $0.00 12/11/2017
HARSTON HALL 2 92 2% 8,150 $0.00 12/11/2017
HAVEN CONVALESCENT HOME, INC 0 69 0% 6,579 $0.00 12/11/2017
HAVEN SKILLED REHABILITATION AND NURSING 0 48 0% 4,621 $0.00 12/11/2017
HAVENCREST NURSING CENTER 0 24 0% 2,249 $0.00 12/11/2017
HEARTHSIDE REHAB CENTER 0 106 0% 10,049 $0.00 12/11/2017
HEMPFIELD MANOR 0 71 0% 6,310 $0.00 12/11/2017
HICKORY HOUSE NURSING HOME 0 58 0% 5,238 $0.00 12/11/2017
HIGHLAND MANOR REHAB & NURSING CENTER 0 87 0% 7,854 $0.00 12/11/2017
HIGHLAND PARK CARE CENTER 0 95 0% 9,418 $0.00 12/11/2017
HIGHLAND VIEW HEALTHCARE & REHAB CENTER 0 34 0% 2,854 $0.00 12/11/2017
HIGHLANDS HEALTHCARE & REHAB CENTER 0 94 0% 8,669 $0.00 12/11/2017
HILLCREST CENTER 1 143 1% 13,654 $0.00 12/11/2017
HILLSDALE PARK REHAB CENTER 0 42 0% 4,012 $0.00 12/11/2017
HILLVIEW HEALTHCARE AND REHAB CENTER 0 84 0% 7,438 $0.00 12/11/2017
HOLY FAMILY HOME 0 39 0% 3,554 $0.00 12/11/2017
HOLY FAMILY MANOR 0 102 0% 9,526 $0.00 12/11/2017
HOLY FAMILY RESIDENCE 0 52 0% 4,624 $0.00 12/11/2017
HOMELAND CENTER 0 45 0% 4,175 $0.00 12/11/2017
HOMESTEAD VILLAGE, INC 0 11 0% 910 $0.00 12/11/2017
HOMETOWN NURSING AND REHAB CENTER 0 100 0% 8,972 $0.00 12/11/2017
HOMEWOOD AT MARTINSBURG PA INC 0 54 0% 5,120 $0.00 12/11/2017
HOMEWOOD AT PLUM CREEK 0 41 0% 3,853 $0.00 12/11/2017
HOPKINS CENTER 0 85 0% 7,601 $0.00 12/11/2017
HOSPITALITY CARE CENTER OF HERMITAGE INC 1 20 5% 1,904 $0.00 12/11/2017
HUNTINGDON PARK REHAB CENTER 0 48 0% 4,592 $0.00 12/11/2017
IMMACULATE MARY CTR FOR REHAB & HLTHCARE 2 199 1% 19,265 $0.00 12/11/2017
INGLIS HOUSE 11 215 5% 20,359 $0.00 12/11/2017
IVY HILL REHAB CENTER 0 103 0% 9,423 $0.00 12/11/2017
JAMESON CARE CENTER 0 40 0% 3,657 $0.00 12/11/2017
JEFFERSON HILLS HEALTHCARE & REHAB CTR 1 38 3% 3,925 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
JEFFERSON MANOR HEALTH CENTER 2 80 3% 7,422 $0.00 12/11/2017
JEWISH HOME OF EASTERN PENNSYLVANIA 0 108 0% 9,154 $0.00 12/11/2017
JEWISH HOME OF GREATER HARRISBURG 0 75 0% 7,363 $0.00 12/11/2017
JOHN J KANE REGIONAL CENTER‐GLEN HAZEL 1 164 1% 14,735 $0.00 12/11/2017
JOHN J KANE REGIONAL CENTER‐MCKEESPORT 0 211 0% 18,930 $0.00 12/11/2017
JOHN J KANE REGIONAL CENTER‐ROSS TWNSHP 1 186 1% 16,743 $0.00 12/11/2017
JOHN J KANE REGIONAL CENTER‐SCOTT TWNSHP 0 204 0% 18,248 $0.00 12/11/2017
JULIA POUND CARE CENTER 0 72 0% 6,629 $0.00 12/11/2017
JULIA RIBAUDO EXTENDED CARE CENTER 0 74 0% 6,502 $0.00 12/11/2017
KEARSLEY REHAB AND NURSING CENTER 0 46 0% 3,874 $0.00 12/11/2017
KEPLER CENTER FOR NURSING AND REHAB 0 17 0% 1,710 $0.00 12/11/2017
KINGSTON HEALTH CARE CENTER 0 34 0% 3,315 $0.00 12/11/2017
KINKORA PYTHIAN HOME CORPORATION 0 22 0% 2,006 $0.00 12/11/2017
KINZUA HEALTHCARE AND REHAB CENTER 0 70 0% 6,286 $0.00 12/11/2017
KITTANNING CARE CENTER 0 82 0% 7,508 $0.00 12/11/2017
KUTZTOWN MANOR 1 89 1% 9,170 $0.00 12/11/2017
LACKAWANNA HEALTH AND REHAB CENTER 0 150 0% 14,073 $0.00 12/11/2017
LAFAYETTE MANOR, INC 0 51 0% 4,964 $0.00 12/11/2017
LAFAYETTE‐REDEEMER (DBA ENTITY OF HRHS) 0 52 0% 5,442 $0.00 12/11/2017
LAKEVIEW HEALTHCARE & REHABILITATION CTR 0 18 0% 1,685 $0.00 12/11/2017
LANCASHIRE HALL 1 169 1% 16,172 $0.00 12/11/2017
LANCASTER CARE AND REHABILITATION CENTER 0 86 0% 7,759 $0.00 12/11/2017
LANDIS HOMES 0 36 0% 3,512 $0.00 12/11/2017
LANGHORNE GARDENS HEALTH & REHAB CENTER 0 89 0% 8,357 $0.00 12/11/2017
LANSDALE CARE AND REHABILITATION CENTER 0 76 0% 7,089 $0.00 12/11/2017
LAUREL CARE NURSING AND REHAB CENTER 0 50 0% 4,701 $0.00 12/11/2017
LAUREL CENTER 17 91 19% 8,433 $20,998.17 12/11/2017
LAUREL RIDGE CENTER 1 44 2% 3,944 $0.00 12/11/2017
LAUREL SQUARE HEALTHCARE & REHAB CTR 0 63 0% 5,957 $0.00 12/11/2017
LAUREL VIEW VILLAGE 0 22 0% 1,971 $0.00 12/11/2017
LAUREL WOOD CARE CENTER 0 80 0% 6,275 $0.00 12/11/2017
LAWSON NURSING HOME, INC. 0 24 0% 2,290 $0.00 12/11/2017
LEBANON VALLEY BRETHREN HOME 0 38 0% 3,528 $0.00 12/11/2017
LEBANON VALLEY HOME THE 0 22 0% 2,289 $0.00 12/11/2017
LECOM AT PRESQUE ISLE, INC. 22 82 27% 7,423 $37,337.69 12/11/2017
LEHIGH CENTER 0 61 0% 6,093 $0.00 12/11/2017
LGAR HEALTH AND REHABILITATION CENTER 0 77 0% 7,549 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
LIFEQUEST NURSING CENTER 0 96 0% 8,882 $0.00 12/11/2017
LINWOOD NURSING AND REHABILITATION CTR 0 57 0% 5,396 $0.00 12/11/2017
LITTLE FLOWER MANOR 0 54 0% 4,943 $0.00 12/11/2017
LITTLE FLOWER MANOR OF DIOCESE SCRANTON 0 83 0% 7,670 $0.00 12/11/2017
LITTLE SISTERS OF THE POOR 0 44 0% 3,938 $0.00 12/11/2017
LOCUST GROVE RETIREMENT VILLAGE 1 65 2% 5,919 $0.00 12/11/2017
LOYALHANNA CARE CENTER 1 73 1% 6,627 $0.00 12/11/2017
LOYALSOCK REHAB CENTER 0 87 0% 7,751 $0.00 12/11/2017
LUTHER ACRES MANOR 0 39 0% 3,725 $0.00 12/11/2017
LUTHER CREST NURSING FACILITY 0 19 0% 1,812 $0.00 12/11/2017
LUTHER WOODS NURSING & REHAB CENTER 1 68 1% 7,034 $0.00 12/11/2017
LUTHERAN COMMUNITY AT TELFORD 0 23 0% 2,107 $0.00 12/11/2017
LUTHERAN HOME AT HOLLIDAYSBURG, THE 0 40 0% 3,436 $0.00 12/11/2017
LUTHERAN HOME AT JOHNSTOWN, THE 0 26 0% 2,462 $0.00 12/11/2017
LUTHERAN HOME AT KANE, THE 0 50 0% 4,704 $0.00 12/11/2017
LUTHERAN HOME AT TOPTON 1 115 1% 10,799 $0.00 12/11/2017
MAHONING VALLEY NURSING AND REHAB CENTER 0 81 0% 7,518 $0.00 12/11/2017
MAJESTIC OAKS REHAB & NURSING CENTER 0 121 0% 11,228 $0.00 12/11/2017
MANATAWNY MANOR INC 0 68 0% 6,415 $0.00 12/11/2017
MANCHESTER COMMONS OF PRESBY SR. CARE 0 41 0% 3,836 $0.00 12/11/2017
MANORCARE HEALTH SERVICES ‐ ERIE 0 80 0% 7,721 $0.00 12/11/2017
MANORCARE HEALTH SERVICES ‐MONTGOMERY 0 91 0% 8,619 $0.00 12/11/2017
MANORCARE HEALTH SERVICES ‐ NORTHSIDE 0 76 0% 7,105 $0.00 12/11/2017
MANORCARE HEALTH SERVICES ‐WALLINGFORD 1 137 1% 12,705 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐ALLENTOWN 2 97 2% 10,453 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐BETHEL PARK 0 91 0% 8,606 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐BETHLEHEM (2021) 1 162 1% 14,650 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐BETHLEHEM (2029) 0 159 0% 15,231 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐CAMP HILL 0 67 0% 6,558 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐CARLISLE 1 105 1% 9,656 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐CHAMBERSBURG 1 142 1% 12,308 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐DALLASTOWN 0 138 0% 12,903 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐EASTON 0 164 0% 15,537 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐ELIZABETHTOWN 1 44 2% 4,130 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐GREEN TREE 1 83 1% 8,107 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐HUNTINGDON VALLEY 3 85 4% 8,121 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐JERSEY SHORE 0 91 0% 8,461 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
MANORCARE HEALTH SVCS‐KING OF PRUSSIA 1 94 1% 8,653 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐KINGSTON 2 111 2% 10,224 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐KINGSTON COURT 1 89 1% 8,663 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐LANCASTER 0 103 0% 10,224 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐LAURELDALE 0 120 0% 11,573 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐LEBANON 3 112 3% 10,593 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐MERCY FITZGERALD 3 76 4% 6,954 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐MONROEVILLE 0 68 0% 5,925 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐NORTH HILLS 1 126 1% 11,309 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐OXFORD VALLEY 0 81 0% 7,784 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐PETERS TOWNSHIP 1 82 1% 7,472 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐PITTSBURGH 1 140 1% 12,386 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐POTTSTOWN 0 95 0% 7,557 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐POTTSVILLE 0 100 0% 9,389 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐SHADYSIDE 0 95 0% 9,804 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐SINKING SPRING 1 140 1% 13,511 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐SUNBURY 0 82 0% 7,101 $0.00 12/11/2017 MANORCARE HEALTH SVCS‐WEST READING NORTH 2 134 1% 12,373 $0.00 12/11/2017 MANORCARE HEALTH SVCS‐WHITEHALL BOROUGH 0 69 0% 6,212 $0.00 12/11/2017 MANORCARE HEALTH SVCS‐WILLIAMSPORT NORTH 1 95 1% 8,342 $0.00 12/11/2017 MANORCARE HEALTH SVCS‐WILLIAMSPORT SOUTH 1 82 1% 7,090 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐YEADON 3 162 2% 14,623 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐YORK NORTH 0 108 0% 9,907 $0.00 12/11/2017
MANORCARE HEALTH SVCS‐YORK SOUTH 2 99 2% 9,418 $0.00 12/11/2017
MANORCARE HLTH SVCS & REHAB ‐WEST ALLEN 6 107 6% 10,369 $0.00 12/11/2017
MAPLE FARM 0 20 0% 1,860 $0.00 12/11/2017
MAPLE WINDS HEALTHCARE & REHAB CTR, LLC 0 18 0% 1,866 $0.00 12/11/2017
MAPLEWOOD NURSING AND REHABILITATION CTR 1 144 1% 13,143 $0.00 12/11/2017
MARGARET E. MOUL HOME 2 82 2% 7,410 $0.00 12/11/2017
MARIAN MANOR CORPORATION 0 62 0% 5,586 $0.00 12/11/2017
MASONIC VILLAGE AT ELIZABETHTOWN 0 257 0% 24,271 $0.00 12/11/2017
MASONIC VILLAGE AT LAFAYETTE HILL 0 32 0% 3,037 $0.00 12/11/2017
MASONIC VILLAGE AT SEWICKLEY 0 40 0% 3,510 $0.00 12/11/2017
MASONIC VILLAGE AT WARMINSTER 0 27 0% 2,587 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
MAYBROOK HILLS REHAB & HEALTHCARE CENTER 3 169 2% 15,421 $0.00 12/11/2017
MCMURRAY HILLS MANOR 0 84 0% 7,881 $0.00 12/11/2017
MEADOW VIEW HEALTHCARE & REHAB CENTER 0 35 0% 3,500 $0.00 12/11/2017
MEADOW VIEW NURSING CENTER 0 106 0% 9,805 $0.00 12/11/2017
MEADOWCREST NURSING CENTER 0 29 0% 2,876 $0.00 12/11/2017
MEADOWS NURSING AND REHAB CENTER 0 73 0% 7,298 $0.00 12/11/2017
MEADOWVIEW REHAB & NURSING CENTER 0 180 0% 16,684 $0.00 12/11/2017
MENNONITE HOME, THE 0 50 0% 4,865 $0.00 12/11/2017
MERCY CENTER NURSING UNIT, INC 0 32 0% 2,952 $0.00 12/11/2017
MESSIAH LIFEWAYS AT MESSIAH VILLAGE 0 56 0% 5,231 $0.00 12/11/2017
MEYERSDALE HEALTHCARE AND REHAB CTR 0 59 0% 5,477 $0.00 12/11/2017
MID VALLEY HEALTH CARE CENTER 0 20 0% 1,729 $0.00 12/11/2017
MIFFLIN CENTER 0 79 0% 7,534 $0.00 12/11/2017
MILFORD HEALTHCARE AND REHAB CENTER 0 52 0% 4,978 $0.00 12/11/2017
MILLCREEK MANOR 1 79 1% 7,309 $0.00 12/11/2017
MILTON REHABILITATION AND NURSING CENTER 0 86 0% 7,731 $0.00 12/11/2017
MISERICORDIA NURSING & REHAB CENTER 0 19 0% 1,800 $0.00 12/11/2017
MON VALLEY CARE CENTER 0 26 0% 2,269 $0.00 12/11/2017
MONROEVILLE REHAB & WELLNESS CENTER 0 75 0% 7,004 $0.00 12/11/2017
MORAVIAN HALL SQ. HLTH AND WELLNESS CTR 0 4 0% 303 $0.00 12/11/2017
MORAVIAN MANOR 0 33 0% 3,018 $0.00 12/11/2017
MORRISONS COVE HOME 0 74 0% 7,210 $0.00 12/11/2017
MOSSER NURSING HOME 0 32 0% 3,039 $0.00 12/11/2017
MOUNT CARMEL NURSING AND REHAB CENTER 0 83 0% 7,303 $0.00 12/11/2017 MOUNT HOPE NAZARENE RETIREMENT COMMUNITY 0 35 0% 3,431 $0.00 12/11/2017
MOUNT MACRINA MANOR NURSING HOME 0 66 0% 6,017 $0.00 12/11/2017
MOUNTAIN CITY NURSING AND REHAB CENTER 2 218 1% 20,288 $0.00 12/11/2017
MOUNTAIN LAUREL NRC 0 152 0% 13,678 $0.00 12/11/2017
MOUNTAIN TOP HEALTHCARE AND REHAB CTR 0 78 0% 7,079 $0.00 12/11/2017
MOUNTAIN VIEW CARE CENTER 0 99 0% 7,414 $0.00 12/11/2017
MOUNTAIN VIEW, A NURSING AND REHAB CTR 0 178 0% 16,400 $0.00 12/11/2017
MOUNTAINVIEW SPECIALTY CARE CENTER 13 67 19% 6,148 $15,308.52 12/11/2017
MT. LEBANON REHAB AND WELLNESS CENTER 0 61 0% 5,922 $0.00 12/11/2017
MULBERRY HEALTHCARE & REHAB CTR 1 45 2% 4,299 $0.00 12/11/2017
MURRYSVILLE REHAB & WELLNESS CENTER 0 67 0% 6,941 $0.00 12/11/2017
NAAMANS CREEK COUNTRY MANOR 0 36 0% 2,952 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
NESHAMINY MANOR HOME 0 277 0% 25,430 $0.00 12/11/2017 NEW EASTWOOD HEALTHCARE AND REHAB CENTER 2 39 5% 3,834 $0.00 12/11/2017
NORMANDIE RIDGE 0 26 0% 2,469 $0.00 12/11/2017
NORRITON SQUARE NURSING & REHAB CENTER 0 63 0% 5,706 $0.00 12/11/2017
NORTH HILLS HEALTH AND REHAB CENTER 0 35 0% 3,133 $0.00 12/11/2017
NORTH STRABANE REHAB & WELLNESS CTR LLC 0 42 0% 3,718 $0.00 12/11/2017
NOTTINGHAM VILLAGE 0 55 0% 5,276 $0.00 12/11/2017
NUGENT CONVALESCENT HOME 0 75 0% 7,240 $0.00 12/11/2017
NURSING & REHABILITATION AT THE MANSION 0 51 0% 4,814 $0.00 12/11/2017
OAK HILL NURSING AND REHAB CENTER 0 25 0% 2,548 $0.00 12/11/2017
OAKMONT CENTER FOR NURSING AND REHAB 0 51 0% 4,906 $0.00 12/11/2017
OAKWOOD HEALTHCARE & REHABILITATION CTR 2 93 2% 8,875 $0.00 12/11/2017
OAKWOOD HEIGHTS OF PRESBY SENIOR CARE 0 57 0% 5,276 $0.00 12/11/2017
OHESSON MANOR 1 83 1% 8,268 $0.00 12/11/2017
OIL CITY HEALTHCARE AND REHAB CENTER 0 55 0% 5,302 $0.00 12/11/2017
OLD ORCHARD HEALTH CARE CENTER 1 105 1% 9,875 $0.00 12/11/2017
ORCHARD MANOR, INC 0 78 0% 7,056 $0.00 12/11/2017
ORWIGSBURG CENTER 0 77 0% 7,922 $0.00 12/11/2017
OXFORD HEALTH CENTER 0 67 0% 6,980 $0.00 12/11/2017
PARK AVENUE REHAB CENTER 3 108 3% 9,740 $0.00 12/11/2017
PARKHOUSE REHABILITATION AND NURSING CTR 2 290 1% 27,752 $0.00 12/11/2017
PASSAVANT RETIREMENT AND HEALTH CENTER 0 56 0% 5,437 $0.00 12/11/2017
PAUL'S RUN 0 52 0% 4,755 $0.00 12/11/2017
PAVILION AT BRMC 0 55 0% 5,489 $0.00 12/11/2017
PEMBROOKE HEALTH AND REHAB CENTER 2 123 2% 11,634 $0.00 12/11/2017
PENN CENTER FOR REHABILITATION AND CARE 0 84 0% 7,555 $0.00 12/11/2017
PENNKNOLL VILLAGE 1 94 1% 8,693 $0.00 12/11/2017
PENNSBURG MANOR 0 77 0% 7,329 $0.00 12/11/2017
PENNYPACK CENTER 0 25 0% 2,164 $0.00 12/11/2017
PETER BECKER COMMUNITY 0 18 0% 1,605 $0.00 12/11/2017
PHILADELPHIA NURSING HOME 8 359 2% 32,792 $0.00 12/11/2017
PHILADELPHIA PROTESTANT HOME 0 61 0% 5,530 $0.00 12/11/2017
PHOEBE ALLENTOWN HEALTH CARE 1 183 1% 16,590 $0.00 12/11/2017
PHOEBE BERKS HEALTH CARE CENTER, INC 0 24 0% 2,259 $0.00 12/11/2017
PHOEBE RICHLAND HCC 0 62 0% 5,832 $0.00 12/11/2017
PHOEBE WYNCOTE 0 31 0% 2,698 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
PHOENIXVILLE CARE AND REHABILITATION CTR 0 63 0% 5,923 $0.00 12/11/2017
PICKERING MANOR HOME 0 15 0% 1,374 $0.00 12/11/2017
PINE RUN HEALTH CENTER 0 19 0% 2,137 $0.00 12/11/2017
PINECREST MANOR 0 78 0% 7,098 $0.00 12/11/2017
PLATINUM RIDGE CTR FOR REHAB & HEALING 0 57 0% 5,642 $0.00 12/11/2017
PLEASANT ACRES NURSING AND REHAB CENTER 10 301 3% 27,752 $0.00 12/11/2017
PLEASANT RIDGE MANOR WEST 2 229 1% 21,738 $0.00 12/11/2017
PLEASANT VALLEY MANOR, INC 0 130 0% 11,889 $0.00 12/11/2017
PLEASANT VIEW RETIREMENT COMMUNITY 0 57 0% 5,514 $0.00 12/11/2017
POCOPSON HOME 0 213 0% 19,803 $0.00 12/11/2017
POWERBACK REHABILITATION 1526 0 41 0% 4,003 $0.00 12/11/2017
POWERBACK REHABILITATION 3485 0 20 0% 1,783 $0.00 12/11/2017
PREMIER ARMSTRONG REHAB & NSG FACILITY 0 75 0% 6,677 $0.00 12/11/2017
PREMIER AT PERRY VLG FOR NURSE AND REHAB 0 70 0% 6,486 $0.00 12/11/2017
PREMIER AT SUSQUEHANNA FOR NURSE & REHAB 0 95 0% 9,226 $0.00 12/11/2017
PREMIER WASHINGTON REHAB AND NURSING CTR 0 196 0% 17,781 $0.00 12/11/2017 PRESBYTERIAN HOMES‐PRESBYTERY‐HUNTINGDON 0 21 0% 2,342 $0.00 12/11/2017
PROSPECT PARK HEALTH AND REHAB CENTER 15 112 13% 9,808 $11,475.36 12/11/2017
PROVIDENCE CARE CENTER 0 122 0% 11,657 $0.00 12/11/2017
QUAKERTOWN CENTER 0 95 0% 9,278 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ APOLLO 1 106 1% 10,080 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ CHICORA 0 68 0% 6,875 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ HENRY CLAY 0 55 0% 4,588 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐MARKLEYSBURG 0 49 0% 4,508 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ NEW CASTLE 0 138 0% 12,840 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ SARVER 0 47 0% 4,214 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐ SUGAR CREEK 0 82 0% 7,663 $0.00 12/11/2017
QUALITY LIFE SERVICES ‐WESTMONT 0 24 0% 2,190 $0.00 12/11/2017
QUARRYVILLE PRESBYTERIAN RETIREMENT COMM 0 47 0% 4,503 $0.00 12/11/2017
QUINCY RETIREMENT COMMUNITY 0 85 0% 7,830 $0.00 12/11/2017
REDSTONE HIGHLANDS HEALTH CARE CENTER 0 35 0% 3,359 $0.00 12/11/2017
REFORMED PRESBYTERIAN HOME 0 30 0% 1,491 $0.00 12/11/2017
REGINA COMMUNITY NURSING CENTER 0 92 0% 8,393 $0.00 12/11/2017
REHAB & NURSING CTR GREATER PITTSBURGH 0 44 0% 4,313 $0.00 12/11/2017
RENAISSANCE HEALTHCARE & REHAB CENTER 1 70 1% 6,661 $0.00 12/11/2017
REST HAVEN‐YORK 0 80 0% 6,811 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
RICHBORO REHABILITATION & NURSING CENTER 0 48 0% 4,254 $0.00 12/11/2017
RICHFIELD HEALTHCARE AND REHAB CENTER 0 25 0% 2,382 $0.00 12/11/2017
RICHLAND HEALTHCARE AND REHAB CENTER 0 55 0% 5,214 $0.00 12/11/2017
RIDGEVIEW HEALTHCARE & REHAB CENTER 1 73 1% 7,066 $0.00 12/11/2017
RIDGEVIEW HEALTHCARE & REHAB CENTER 0 89 0% 8,061 $0.00 12/11/2017
RIVER RUN REHAB AND NURSING CENTER 0 61 0% 5,567 $0.00 12/11/2017
RIVER'S EDGE NURSING AND REHAB CENTER 0 74 0% 6,964 $0.00 12/11/2017
RIVERSIDE CARE CENTER 0 86 0% 7,216 $0.00 12/11/2017
RIVERSIDE REHABILITATION AND NURSING CTR 1 103 1% 9,504 $0.00 12/11/2017
RIVERSTREET MANOR 2 81 2% 7,727 $0.00 12/11/2017
RIVERWOODS 1 85 1% 8,009 $0.00 12/11/2017
ROCHESTER MANOR 0 65 0% 4,429 $0.00 12/11/2017
ROLLING FIELDS, INC 0 115 0% 10,595 $0.00 12/11/2017
ROLLING HILLS HEALTHCARE & REHAB CENTER 0 45 0% 4,114 $0.00 12/11/2017
ROLLING MEADOWS 0 80 0% 7,406 $0.00 12/11/2017
ROSE VIEW CENTER 0 77 0% 7,430 $0.00 12/11/2017
ROSEMONT CARE AND REHABILITATION CENTER 0 53 0% 5,001 $0.00 12/11/2017
ROSEWOOD REHABILITATION & NURSING CENTER 0 106 0% 10,201 $0.00 12/11/2017
ROUSE WARREN COUNTY HOME 0 112 0% 10,191 $0.00 12/11/2017
RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES 0 13 0% 1,417 $0.00 12/11/2017
SAINT ANNE HOME 0 55 0% 4,809 $0.00 12/11/2017
SAINT ANNE'S RETIREMENT COMMUNITY 0 35 0% 3,542 $0.00 12/11/2017
SAINT JOHN XXIII HOME 0 49 0% 4,422 $0.00 12/11/2017
SAINT JOSEPH VILLA 1 46 2% 4,450 $0.00 12/11/2017
SAINT MARY'S AT ASBURY RIDGE 0 41 0% 3,945 $0.00 12/11/2017
SAINT MARY'S EAST 0 74 0% 7,051 $0.00 12/11/2017
SAINT MARY'S VILLA NURSING HOME, INC 0 70 0% 6,409 $0.00 12/11/2017
SAINT PAUL HOMES 0 102 0% 9,675 $0.00 12/11/2017
SANATOGA CENTER 0 78 0% 7,435 $0.00 12/11/2017
SARAH A TODD MEMORIAL HOME 0 75 0% 6,982 $0.00 12/11/2017
SARAH REED SENIOR LIVING 1 54 2% 5,070 $0.00 12/11/2017
SAUNDERS HOUSE 3 93 3% 8,614 $0.00 12/11/2017
SAXONY HEALTH CENTER 1 36 3% 3,316 $0.00 12/11/2017
SAYRE HEALTH CARE CENTER, LLC 0 34 0% 3,182 $0.00 12/11/2017
SCENERY HILL HEALTHCARE & REHAB CENTER 0 39 0% 3,338 $0.00 12/11/2017
SCHUYLKILL CENTER 0 138 0% 12,776 $0.00 12/11/2017
SCOTTDALE HEALTHCARE & REHAB CENTER 0 14 0% 1,284 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
SCRANTON HEALTH CARE CENTER 0 25 0% 2,335 $0.00 12/11/2017
SENA‐KEAN MANOR 0 105 0% 9,772 $0.00 12/11/2017
SENECA PLACE 1 78 1% 7,177 $0.00 12/11/2017
SETON MANOR NURSING & REHABILITATION CTR 0 69 0% 6,708 $0.00 12/11/2017
SHENANDOAH MANOR NURSING CENTER 1 96 1% 8,480 $0.00 12/11/2017
SHENANGO PRESBYTERIAN SENIORCARE 0 5 0% 514 $0.00 12/11/2017
SHERWOOD OAKS 0 0 0% 91 $0.00 12/11/2017
SHIPPENSBURG HEALTH CARE CENTER 1 74 1% 7,003 $0.00 12/11/2017
SHIPPENVILLE HEALTHCARE AND REHAB CENTER 1 54 2% 5,017 $0.00 12/11/2017
SHOOK HOME, THE 0 36 0% 3,541 $0.00 12/11/2017
SIEMONS' LAKEVIEW MANOR NSG AND REHAB 1 84 1% 7,511 $0.00 12/11/2017 SIGNATURE HEALTHCARE OF BLOOMSBURG REHAB 0 46 0% 3,981 $0.00 12/11/2017
SILVER LAKE CENTER 3 130 2% 12,187 $0.00 12/11/2017
SILVER STREAM CENTER 1 93 1% 8,838 $0.00 12/11/2017
SIMPSON HOUSE, INC 0 101 0% 9,729 $0.00 12/11/2017
SLATE BELT HEALTH AND REHAB CENTER 0 81 0% 7,479 $0.00 12/11/2017
SMITH HEALTH CARE, LTD 0 14 0% 1,502 $0.00 12/11/2017
SNYDER MEMORIAL HEALTH CARE CENTER 0 78 0% 6,953 $0.00 12/11/2017
SOMERTON CENTER 20 162 12% 14,719 $14,571.81 12/11/2017
SOUDERTON MENNONITE HOMES 0 22 0% 2,172 $0.00 12/11/2017
SOUTH HILLS REHAB & WELLNESS CENTER 0 68 0% 5,654 $0.00 12/11/2017
SOUTHMONT OF PRESBYTERIAN SENIORCARE 0 70 0% 6,531 $0.00 12/11/2017
SOUTHWESTERN NURSING CARE CENTER 0 68 0% 6,255 $0.00 12/11/2017
SPANG CREST MANOR 0 43 0% 3,884 $0.00 12/11/2017
SPIRITRUST LUTHERAN VLG @ SHREWSBURY 0 55 0% 5,060 $0.00 12/11/2017
SPIRITRUST LUTHERAN VLG @ GETTYSBURG 1 52 2% 4,589 $0.00 12/11/2017
SPIRITRUST LUTHERAN VLG @ SPRENKLE DRIVE 0 45 0% 4,381 $0.00 12/11/2017
SPIRITRUST LUTHERAN VLG @ UTZ TERRACE 0 21 0% 1,966 $0.00 12/11/2017
SPRING CREEK REHAB AND NURSING CENTER 20 276 7% 25,847 $0.00 12/11/2017
SPRINGS AT THE WATERMARK, THE 0 26 0% 2,931 $0.00 12/11/2017
SPRUCE MANOR NURSING AND REHAB CENTER 2 153 1% 13,440 $0.00 12/11/2017
SQUIRREL HILL CTR FOR REHAB AND HEALING 1 103 1% 9,590 $0.00 12/11/2017
ST FRANCIS CENTER FOR REHAB & HEALTHCARE 1 200 1% 18,512 $0.00 12/11/2017
ST JOHN NEUMANN CTR FOR REHAB & HLTHCARE 0 152 0% 13,844 $0.00 12/11/2017
ST JOHN SPECIALTY CARE CENTER 7 123 6% 9,457 $0.00 12/11/2017
ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) 1 142 1% 13,667 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
ST LUKE'S REHABILITATION AND NURSING CTR 0 24 0% 2,119 $0.00 12/11/2017
ST MARTHA CENTER FOR REHAB & HEALTHCARE 0 61 0% 5,945 $0.00 12/11/2017
ST MARY CENTER FOR REHAB & HEALTHCARE 0 62 0% 6,807 $0.00 12/11/2017
ST MONICA CENTER FOR REHAB & HEALTHCARE 0 104 0% 10,014 $0.00 12/11/2017
ST. BARNABAS NURSING HOME 0 51 0% 4,775 $0.00 12/11/2017
ST. IGNATIUS NURSING & REHAB CENTER 2 135 1% 9,935 $0.00 12/11/2017
ST. LUKE'S VILLA 0 27 0% 2,429 $0.00 12/11/2017
STATESMAN HEALTH AND REHAB CENTER 13 62 21% 5,743 $17,458.72 12/11/2017
STENTON CARE AND REHABILITATION CENTER 1 61 2% 5,893 $0.00 12/11/2017
STERLING HEALTH CARE AND REHAB CENTER 2 123 2% 11,579 $0.00 12/11/2017
STONEBRIDGE HEALTH AND REHAB CENTER 0 34 0% 3,181 $0.00 12/11/2017
STONERIDGE POPLAR RUN 0 29 0% 2,689 $0.00 12/11/2017
STONERIDGE TOWNE CENTRE 0 73 0% 6,753 $0.00 12/11/2017
SUBURBAN WOODS HEALTH AND REHAB CENTER 0 75 0% 7,245 $0.00 12/11/2017
SUGAR CREEK STATION SKILLED NSG & REHAB 0 82 0% 7,859 $0.00 12/11/2017
SUMMIT AT BLUE MOUNTAIN NURSING & REHAB 0 47 0% 4,592 $0.00 12/11/2017
SUNBURY COMMUNITY HEALTH & REHAB CENTER 0 14 0% 1,324 $0.00 12/11/2017
SUNNYVIEW NURSING AND REHABILITATION CTR 0 166 0% 14,693 $0.00 12/11/2017
SUSQUE VIEW HOME, INC 0 90 0% 8,255 $0.00 12/11/2017
SUSQUEHANNA HLTH SKILLED NSG & REHAB CTR 12 95 13% 8,565 $10,021.05 12/11/2017
SUSQUEHANNA VALLEY NURSING AND REHAB CTR 0 98 0% 10,263 $0.00 12/11/2017
SWAIM HEALTH CENTER 0 45 0% 4,326 $0.00 12/11/2017
SWEDEN VALLEY MANOR 2 83 2% 7,446 $0.00 12/11/2017
TEL HAI RETIREMENT COMMUNITY 0 53 0% 5,076 $0.00 12/11/2017
THE BELVEDERE CENTER, GENESIS HEALTHCARE 0 125 0% 10,812 $0.00 12/11/2017
THE COMMUNITY AT ROCKHILL 0 18 0% 1,772 $0.00 12/11/2017
THE GARDENS AT BUTLER 1 24 4% 2,264 $0.00 12/11/2017
THE GARDENS AT CAMPBELLTOWN 0 29 0% 2,909 $0.00 12/11/2017
THE GARDENS AT EAST MOUNTAIN 0 69 0% 6,301 $0.00 12/11/2017
THE GARDENS AT EASTON 1 149 1% 14,202 $0.00 12/11/2017
THE GARDENS AT LAKESIDE 1 22 5% 1,986 $0.00 12/11/2017
THE GARDENS AT LITITZ 0 16 0% 1,606 $0.00 12/11/2017
THE GARDENS AT MILLVILLE 0 77 0% 7,399 $0.00 12/11/2017
THE GARDENS AT ORANGEVILLE 1 71 1% 6,923 $0.00 12/11/2017
THE GARDENS AT PALMYRA 0 25 0% 2,312 $0.00 12/11/2017
THE GARDENS AT POTTSTOWN 0 24 0% 2,327 $0.00 12/11/2017
THE GARDENS AT STEVENS 2 48 4% 4,531 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
THE GARDENS AT TUNKHANNOCK 0 76 0% 7,074 $0.00 12/11/2017
THE GARDENS AT WYOMING VALLEY 2 76 3% 6,738 $0.00 12/11/2017
THE GARDENS FOR MEMORY CARE AT EASTON 0 89 0% 8,157 $0.00 12/11/2017
THE GROVE AT GREENVILLE 1 116 1% 10,090 $0.00 12/11/2017
THE GROVE AT HARMONY 1 74 1% 7,282 $0.00 12/11/2017
THE GROVE AT IRWIN 0 75 0% 6,569 $0.00 12/11/2017
THE GROVE AT LATROBE 0 90 0% 7,969 $0.00 12/11/2017
THE GROVE AT NEW CASTLE 0 42 0% 3,674 $0.00 12/11/2017
THE GROVE AT NEW WILMINGTON 2 81 2% 7,222 $0.00 12/11/2017
THE GROVE AT WASHINGTON 0 55 0% 4,750 $0.00 12/11/2017
THE MANOR AT PENN VILLAGE 0 112 0% 10,297 $0.00 12/11/2017
THE MANOR AT ST LUKE VILLAGE 0 81 0% 7,138 $0.00 12/11/2017 THE MEADOWS @ GETTYSBURG FOR NSG & REHAB 0 72 0% 6,294 $0.00 12/11/2017
THE MEADOWS @ STROUD FOR NSG & REHAB LLC 0 86 0% 8,066 $0.00 12/11/2017 THE MEADOWS @ WEST SHORE FOR NSG & REHAB 0 142 0% 14,092 $0.00 12/11/2017
THE MEADOWS AT BLUE RIDGE 0 69 0% 6,277 $0.00 12/11/2017
THE MEADOWS AT CAMP HILL FOR NSG & REHAB 0 57 0% 5,374 $0.00 12/11/2017
THE MEADOWS AT SCRANTON FOR NSG & REHAB 1 78 1% 7,054 $0.00 12/11/2017
THE MEADOWS AT YORK TERRACE 0 55 0% 5,036 $0.00 12/11/2017
THE PATRIOT, A CHOICE COMMUNITY 0 58 0% 5,270 $0.00 12/11/2017
THE PAVILION AT ST LUKE VILLAGE 0 73 0% 7,241 $0.00 12/11/2017
THORNWALD HOME 0 45 0% 4,054 $0.00 12/11/2017
TIMBER RIDGE HEALTH CENTER 1 122 1% 11,618 $0.00 12/11/2017
TITUSVILLE HEALTHCARE & REHAB CENTER 0 48 0% 4,464 $0.00 12/11/2017
TOWNE MANOR EAST 1 92 1% 8,533 $0.00 12/11/2017
TOWNE MANOR WEST 0 79 0% 7,422 $0.00 12/11/2017
TOWNVIEW HEALTH AND REHAB CENTER 0 66 0% 5,602 $0.00 12/11/2017
TRANSITIONS HEALTHCARE AUTUMN GROVE C C 0 79 0% 7,567 $0.00 12/11/2017
TRANSITIONS HEALTHCARE GETTYSBURG 0 99 0% 9,192 $0.00 12/11/2017
TRANSITIONS HEALTHCARE NORTH HUNTINGDON 0 71 0% 6,244 $0.00 12/11/2017
TRANSITIONS HEALTHCARE WASHINGTON PA 19 78 24% 7,079 $28,103.63 12/11/2017
TREMONT HEALTH AND REHABILITATION CENTER 3 136 2% 12,457 $0.00 12/11/2017
TRINITY LIVING CENTER 0 70 0% 6,827 $0.00 12/11/2017
TUCKER HOUSE NSG & REHAB CTR 1 137 1% 12,335 $0.00 12/11/2017
TWIN PINES HEALTH CARE CENTER 0 84 0% 7,705 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
UNIONTOWN HEALTHCARE & REHAB CENTER 0 75 0% 5,985 $0.00 12/11/2017
UNITED ZION RETIREMENT COMMUNITY 0 27 0% 2,419 $0.00 12/11/2017
UPMC HERITAGE PLACE 0 71 0% 5,411 $0.00 12/11/2017
VALENCIA WOODS AT ST BARNABAS 0 14 0% 1,313 $0.00 12/11/2017
VALLEY MANOR HEALTH AND REHAB CENTER 4 143 3% 12,704 $0.00 12/11/2017
VALLEY VIEW HAVEN, INC 0 82 0% 8,064 $0.00 12/11/2017
VALLEY VIEW NURSING CENTER 0 77 0% 7,274 $0.00 12/11/2017
VILLA SAINT JOSEPH OF BADEN INC. 0 58 0% 5,297 $0.00 12/11/2017
VILLAGE AT LUTHER SQUARE 1 82 1% 6,705 $0.00 12/11/2017
VILLAGE AT PENNWOOD 2 68 3% 6,288 $0.00 12/11/2017
VINCENTIAN DE MARILLAC 0 33 0% 2,918 $0.00 12/11/2017
VINCENTIAN HOME 0 71 0% 6,983 $0.00 12/11/2017
WALNUT CREEK HEALTHCARE & REHAB CENTER 1 62 2% 5,677 $0.00 12/11/2017
WARREN MANOR 0 52 0% 5,002 $0.00 12/11/2017
WATSONTOWN REHABILITATION AND NRSG CTR 0 69 0% 6,392 $0.00 12/11/2017
WAYNE CENTER 2 67 3% 6,326 $0.00 12/11/2017
WAYNE WOODLANDS MANOR 0 62 0% 5,587 $0.00 12/11/2017
WAYNESBURG HEALTHCARE & REHAB CENTER 0 65 0% 6,080 $0.00 12/11/2017
WEATHERWOOD HEALTHCARE AND REHAB CTR 0 142 0% 13,915 $0.00 12/11/2017
WESBURY UNITED METHODIST COMMUNITY 0 123 0% 11,394 $0.00 12/11/2017
WESLEY ENHANCED LIVING AT STAPELEY 0 76 0% 7,340 $0.00 12/11/2017
WESLEY ENHANCED LIVING MAIN LINE REHAB 0 20 0% 2,052 $0.00 12/11/2017
WESLEY ENHANCED LIVING PENNYPACK PARK 0 63 0% 6,297 $0.00 12/11/2017
WESLEY ENHANCED LIVING‐DOYLESTOWN 0 28 0% 2,652 $0.00 12/11/2017
WESLEY VILLAGE 0 108 0% 9,901 $0.00 12/11/2017
WEST HILLS HEALTH AND REHAB CENTER 0 76 0% 6,962 $0.00 12/11/2017
WESTERN RESERVE HEALTHCARE & REHAB CTR 2 69 3% 6,470 $0.00 12/11/2017
WESTGATE REHABILITATION AND NURSING CTR 0 63 0% 6,120 $0.00 12/11/2017
WESTMINSTER VILLAGE 0 80 0% 7,107 $0.00 12/11/2017
WESTMINSTER WOODS AT HUNTINGDON 0 31 0% 2,856 $0.00 12/11/2017
WESTMORELAND MANOR 1 307 0% 29,130 $0.00 12/11/2017
WESTON REHABILITATION AND NURSING CENTER 0 26 0% 2,243 $0.00 12/11/2017
WEXFORD HEALTHCARE CENTER 1 97 1% 9,647 $0.00 12/11/2017
WHITESTONE CARE CENTER 0 40 0% 3,702 $0.00 12/11/2017
WILLIAM PENN CARE CENTER 4 76 5% 6,786 $0.00 12/11/2017
WILLIAM PENN HEALTHCARE & REHAB CENTER 0 73 0% 7,035 $0.00 12/11/2017
WILLIAMSPORT HOME, THE 0 64 0% 5,893 $0.00 12/11/2017
Paid Facility # MA and Vents‐ Therapeutic Trach # MA Days for
5/1/2017 5/1/2017 % MA Quarter Total Vent‐Picture Picture Vents‐ Ending Trach
Name Date Date Trach 6/30/2017 Payment RA Date
WILLOW TERRACE 0 124 0% 12,386 $0.00 12/11/2017
WILLOWBROOKE CT SCC AT BRITTANY POINTE 0 5 0% 357 $0.00 12/11/2017
WILLOWCREST 1 3 33% 105 $0.00 12/11/2017
WILLOWS OF PRESBYTERIAN SENIORCARE, THE 0 89 0% 7,764 $0.00 12/11/2017
WINDY HILL VILLAGE OF PRESBYTERIAN HOMES 0 86 0% 8,099 $0.00 12/11/2017
WOODHAVEN CARE CENTER 1 83 1% 8,012 $0.00 12/11/2017
WOODLAND PARK REHAB CENTER 0 80 0% 7,259 $0.00 12/11/2017
WYNDMOOR HILLS HEALTH CARE & REHAB CTR 0 0 0% 0 $0.00 12/11/2017
WYOMISSING HEALTH AND REHABILITATION CTR 0 66 0% 6,617 $0.00 12/11/2017
YORK NURSING AND REHABILITATION CENTER 1 184 1% 16,288 $0.00 12/11/2017
ZERBE SISTERS NURSING CENTER, INC. 0 52 0% 4,848 $0.00 12/11/2017
