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EDGEWOOD SPRING CREEK EAGLE ISLAND LLC
EDGEWOOD SPRING CREEK EAGLE ISLAND LLC
NPI: 1114383577
· BOISE, ID 83713
· Assisted Living Facility
· NPI assigned 01/14/2016
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.
$1.28M
Total Medicaid Paid
Provider Details
| Authorized Official | DYBWAD, JOHN (VP OF FINANCE) |
| NPI Enumeration Date | 01/14/2016 |
Related Entities
Other providers sharing the same authorized official: DYBWAD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
105 |
$100K |
| 2021 |
76 |
$84K |
| 2022 |
188 |
$287K |
| 2023 |
190 |
$488K |
| 2024 |
145 |
$324K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
704 |
593 |
$1.28M |