EDGEWOOD FRUITLAND SENIOR LIVING LLC
NPI: 1063840353
· FRUITLAND, ID 83619
· Assisted Living Facility
· NPI assigned 10/23/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5140 with only 1 total codes billed. Highly concentrated billing profile.
$2.55M
Total Medicaid Paid
Provider Details
| Authorized Official | DYBWAD, JOHN (VP OF FINANCE) |
| NPI Enumeration Date | 10/23/2013 |
Related Entities
Other providers sharing the same authorized official: DYBWAD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
221 |
$218K |
| 2021 |
318 |
$442K |
| 2022 |
360 |
$623K |
| 2023 |
333 |
$752K |
| 2024 |
210 |
$511K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
1,442 |
1,163 |
$2.55M |