BABY BOOMERS ACTIVITIES CLUB II, LLC SOS Verified
1915 SIMMONS ST STE B, LAS VEGAS, NV 89106
NPI Number
1942635776
SOS Verification: Verified
Entity Name: BABY BOOMER'S ACTIVITIES CLUB, LLC
Entity Number: E0905742006-2
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2006-12-12
Status Changed: 2010-02-24
Name Match: 83%
Registered Agent
Name: Katiushka Lozano De Posada
Type: Non-Commercial Registered Agent
Address: 5522 Moonlight Gardens St., Las Vegas, NV, 89130
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | DESERT PCA OF NEVADA | 5522 MOONLIGHT GARDEN STREET, LAS VEGAS, NV, 89031 | Active |
Total Medicaid Payments
$681,041
-68% vs specialty average
Patients Seen
800
Total Claims
4,103
$ Per Patient
$851
Specialty avg: $849
Specialty Rank
#20 of 29
Clinic/Center, Adult Day Care providers in Nevada
Peer Average
$2,147,311
Average total for Clinic/Center, Adult Day Care
Claims per Patient
5.1
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 | $246,894 | |
| 2019 | $297,325 | |
| 2020 | $136,822 |
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 |
|---|---|---|---|---|---|
| S5102 | Adult day care — daytime program with activities and supervision (per day) | 4,103 | $681,041 | 100.0% | $166 |
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.