NPI: 1174527410 · WILLMAR, MN 56201 · Skilled Nursing Facility
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 437 | $4K |
| 2019 | 1,622 | $14K |
| 2020 | 2,310 | $19K |
| 2021 | 3,084 | $27K |
| 2022 | 1,709 | $15K |
| 2023 | 3,154 | $20K |
| 2024 | 862 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 8,225 | 1,651 | $101K |
| S0209 | Wheelchair van, mileage, per mile | 4,840 | 1,021 | $8K |
| 90686 | 38 | 35 | $1K | |
| G0008 | Administration of influenza virus vaccine | 63 | 60 | $1K |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 12 | 12 | $345.60 |