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ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
ARCHIE HENDRICKS SR SKILLED NURSING FACILITY
NPI: 1073503777
· SELLS, AZ 85634
· Skilled Nursing Facility
· NPI assigned 10/24/2005
$211K
Total Medicaid Paid
Provider Details
| Authorized Official | WILKOFF, ROSS (ADMINISTRATOR) |
| NPI Enumeration Date | 10/24/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,097 |
$58K |
| 2019 |
753 |
$39K |
| 2020 |
284 |
$15K |
| 2021 |
222 |
$11K |
| 2022 |
1,004 |
$53K |
| 2023 |
206 |
$11K |
| 2024 |
480 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0209 |
Wheelchair van, mileage, per mile |
2,051 |
487 |
$189K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,995 |
475 |
$22K |