Nursing facility
Edgewood Plantation Place LLC
Edgewood Plantation Place LLC was paid $201K by Medicaid between Mar 2024 and Oct 2024, across 1 billing code. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.
33Billing provider infoEDGEWOOD PLANTATION PLACE LLC
BOISE, ID 83703
BOISE, ID 83703
33aNPI1023305497assigned 07/06/2011
33bProvider typeAssisted Living Facility
28Total paid$201K
24GClaims105
24DCodes billed1
24AFirst – last monthMar 2024 – Oct 2024
Compared with peers
Next to other Assisted Living Facility providers in Idaho
Rank by total paid#29 of 41
Median peer was paid$631K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 105 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 100% | 105 | 87 | $201K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDYBWAD, JOHN (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Edgewood Fruitland Senior Living LLC | Fruitland, ID | $2.55M |
| Edgewood Spring Creek Overland, LLC | Boise, ID | $2.22M |
| Edgewood Castle Hills LLC | Boise, ID | $2.06M |
| Edgewood Spring Creek Boise, LLC | Boise, ID | $1.57M |
| Edgewood Spring Creek Eagle Island LLC | Boise, ID | $1.28M |
| Edgewood Spring Creek American Falls, LLC | American Falls, ID | $1.03M |
| Edgewood Rapid City LLC | Rapid City, SD | $639K |
| Edgewood Spring Creek Ustick, LLC | Meridian, ID | $502K |
| Edgewood Spring Creek Eagle, LLC | Eagle, ID | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.