GOOD SAMARITAN TRANSITIONAL CARE & WOUND SPECIALIST SOS Verified
1500 E TROPICANA AVE STE 161, LAS VEGAS, NV 89119
NPI Number
1437723632
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Good Samaritan Transitional Care & Wound Specialist
Entity Number: E14374112021-8
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2021-05-05
Status Changed: 2021-05-05
Name Match: 95%
Registered Agent
Name: STANLEY KIDIAVAYI
Type: Non-Commercial Registered Agent
Address: 4220 SAXTON GREEN AVE., Las Vegas, NV, 89141
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Director | Sheila Villacrucis | 5957 Gordon creek ave., Las Vegas, NV | Active |
| President | Shiela Villacrucis | 5957 Gordon Creek Ave., Las Vegas, NV | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2024 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99349 | Home visit follow-up — complex problem | 22 | $0 | 0.0% | $0 |