Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TRI-VALLEY OPPORTUNITY COUNCIL

NPI: 1104098672 · CROOKSTON, MN 56716 · Public Health or Welfare Agency · NPI assigned 03/25/2008

$4K
Total Medicaid Paid
216
Total Claims
212
Beneficiaries
4
Codes Billed
2018-06
First Month
2019-06
Last Month

Provider Details

Authorized OfficialBOUDREAUX, CYNTHIA (HEALTH SERVICES MANAGER)
NPI Enumeration Date03/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $3K
2019 44 $796.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99402 83 82 $4K
92551 53 52 $418.46
99173 66 65 $131.56
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 13 $93.60