INDEPENDENT SCHOOL DISTRICT NO 390
NPI: 1164504049
· BAUDETTE, MN 56623
· Local Education Agency (LEA)
· NPI assigned 10/19/2006
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | WYMORE, STEVE (FINANCE SPECIALIST) |
| NPI Enumeration Date | 10/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,080 |
$24K |
| 2019 |
610 |
$20K |
| 2020 |
215 |
$6K |
| 2021 |
785 |
$22K |
| 2022 |
701 |
$16K |
| 2023 |
837 |
$18K |
| 2024 |
70 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1018 |
School-based individualized education program (iep) services, bundled |
4,298 |
762 |
$108K |