1130 SEVENTEENTH AVENUE OPERATIONS LLC
NPI: 1063459501
· GREAT FALLS, MT 59405
· 314000000X
$148K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
458 |
$44K |
| 2019 |
1,185 |
$87K |
| 2020 |
165 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
1,059 |
372 |
$117K |
| 97110 |
|
512 |
253 |
$21K |
| 97150 |
|
217 |
115 |
$10K |
| 97116 |
|
20 |
13 |
$585.95 |