Medicaid Provider Spending

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

PRAIRIE VIEW RETIREMENT INC.

NPI: 1164570461 · KIMBALL, SD 57355 · Assisted Living Facility · NPI assigned 01/05/2007

$107K
Total Medicaid Paid
74
Total Claims
72
Beneficiary Records
1
Codes Billed
2021-06
First Month
2021-11
Last Month

Provider Details

Authorized OfficialBANEK, VIRGINIA (OWNER)
NPI Enumeration Date01/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 74 $107K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T2031 Assisted living; waiver, per diem 74 72 $107K