Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SPICER › FOURTH AVENUE HOMES INC.

FOURTH AVENUE HOMES INC.

NPI: 1205012507 · SPICER, MN 56288 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 01/16/2008

$63.54M
Total Medicaid Paid
143,805
Total Claims
5,291
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHRIVER, DEBRA (CEO)
NPI Enumeration Date01/16/2008

Related Entities

Other providers sharing the same authorized official: SHRIVER, DEBRA

ProviderCityStateTotal Paid
DIVINE HOUSE, INC. WILLMAR MN $230.93M
CENTRAL MINNESOTA SENIOR CARE, INC. WILLMAR MN $18.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,663 $5.20M
2019 17,475 $6.26M
2020 19,753 $8.11M
2021 20,544 $8.87M
2022 22,828 $10.91M
2023 27,085 $12.51M
2024 21,457 $11.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 112,062 3,740 $48.93M
T2016 Habilitation, residential, waiver; per diem 29,626 1,010 $14.17M
H0045 Respite care services, not in the home, per diem 1,617 425 $398K
S5150 Unskilled respite care, not hospice; per 15 minutes 500 116 $41K