Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DIVINE LEGACY

NPI: 1073072260 · BROOKLYN CENTER, MN 55429 · Corporate Health Clinic/Center · NPI assigned 03/18/2019

$16K
Total Medicaid Paid
227
Total Claims
68
Beneficiaries
1
Codes Billed
2022-09
First Month
2023-03
Last Month

Provider Details

Authorized OfficialAYCOCK, LAKESIA (ADMINISTRATION/MHP)
NPI Enumeration Date03/18/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 135 $9K
2023 92 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 227 68 $16K