GOOD SAMARITAN HEALTHCARE, LLC SOS Verified
5693 S JONES BLVD STE 118, LAS VEGAS, NV 89118
NPI Number
1629138219
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: GOOD SAMARITAN HEALTHCARE, LLC
Entity Number: E0814512006-5
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2006-11-06
Name Match: 95%
Registered Agent
Name: MARETES GODINEZ
Type: Non-Commercial Registered Agent
Address: 9978 CERBAT CT, Las Vegas, NV, 89183
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | MARY CLYDE MANALILI | 3700 PORTIANI DR, Las Vegas, NV | Active |
| Mmember | JOY MARIE BANZON-VILLAMORA | 9820 HEARTHFIRE ST, Las Vegas, NV | Active |
Total Medicaid Payments
$162,075
-41% vs specialty average
Patients Seen
1,901
Total Claims
12,027
$ Per Patient
$85
Specialty avg: $60
Specialty Rank
#33 of 180
Physical Therapist providers in Nevada
Peer Average
$276,594
Average total for Physical Therapist
Claims per Patient
6.3
Average visits / services per person
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 |
|---|---|---|
| 2018 | $0 | |
| 2019 | $49,069 | |
| 2020 | $22,942 | |
| 2021 | $27,858 | |
| 2022 | $33,880 | |
| 2023 | $28,327 | |
| 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 |
|---|---|---|---|---|---|
| 97110 | Physical therapy exercises to build strength, flexibility, or range of motion | 9,978 | $162,075 | 100.0% | $16 |
| G0237 | Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) | 210 | $0 | 0.0% | $0 |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | 102 | $0 | 0.0% | $0 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 45 | $0 | 0.0% | $0 |
| 94668 | Breathing test or lung function test | 294 | $0 | 0.0% | $0 |
| G0128 | Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes | 430 | $0 | 0.0% | $0 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 45 | $0 | 0.0% | $0 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 102 | $0 | 0.0% | $0 |
| G0238 | Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) | 821 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.