COUNTRY MANOR CAMPUS LLC
NPI: 1154595858
· SARTELL, MN 56377
· 310400000X
$1.55M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
419 |
$11K |
| 2022 |
2,529 |
$211K |
| 2023 |
5,609 |
$524K |
| 2024 |
7,461 |
$809K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assist living waiver/diem |
15,599 |
518 |
$1.54M |
| S5130 |
Homaker service nos per 15m |
391 |
85 |
$10K |
| T1030 |
Rn home care per diem |
28 |
13 |
$75.02 |