ITASCA NURSING HOME
NPI: 1184662793
· GRAND RAPIDS, MN 55744
· Skilled Nursing Facility
· NPI assigned 06/04/2006
Provider Details
| Authorized Official | GOERING, JACOB (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
192 |
$2K |
| 2019 |
523 |
$11K |
| 2020 |
66 |
$2K |
| 2021 |
114 |
$3K |
| 2022 |
216 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
554 |
348 |
$19K |
| S0209 |
Wheelchair van, mileage, per mile |
557 |
335 |
$4K |