LIVING SERVICES FOUNDATION/MINNEOTA, LLC
NPI: 1174754147
· MINNEOTA, MN 56264
· Home Health Agency
· NPI assigned 08/07/2009
$741.26
Total Medicaid Paid
Provider Details
| Authorized Official | KAMSTRA, JENNIFER (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 08/07/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$741.26 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
16 |
16 |
$555.36 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$185.90 |