Medicaid Provider Spending

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

LYON COUNTY D/B/A HEALTH SERVICES OF LYON COUNTY

NPI: 1164414041 · ROCK RAPIDS, IA 51246 · Home Health Agency · NPI assigned 08/17/2005

$11K
Total Medicaid Paid
759
Total Claims
726
Beneficiaries
3
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialFOLKENS, JODY (ADMINISTRATOR)
NPI Enumeration Date08/17/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $3K
2019 183 $3K
2020 126 $2K
2021 86 $1K
2022 116 $2K
2023 85 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 395 374 $8K
90686 352 340 $3K
90734 12 12 $225.86