Itasca Nursing Home

Itasca Nursing Home was paid $22K by Medicaid between Mar 2018 and Oct 2022, across 2 billing codes. Its largest line is A0130, Non-emergency transportation: wheelchair van — 84% of everything it billed.

33Billing provider infoITASCA NURSING HOME
GRAND RAPIDS, MN 55744

33aNPI1184662793assigned 06/04/2006

33bProvider typeSkilled Nursing Facility

28Total paid$22K

24GClaims1,111

24DCodes billed2

24AFirst – last monthMar 2018 – Oct 2022

Compared with peers

Next to other Skilled Nursing Facility providers in Minnesota

Rank by total paid#79 of 198

Median peer was paid$11K

This provider vs. median2.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	192	$2K
2019	523	$11K
2020	66	$2K
2021	114	$3K
2022	216	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A0130	Non-emergency transportation: wheelchair van	84%	554	348	$19K
S0209	Wheelchair van, mileage, per mile	16%	557	335	$4K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGOERING, JACOB (EXECUTIVE DIRECTOR)