EDGEWOOD SPRING CREEK USTICK, LLC
NPI: 1225313737
· MERIDIAN, ID 83646
· Assisted Living Facility
· NPI assigned 10/15/2011
$502K
Total Medicaid Paid
Provider Details
| Authorized Official | DYBWAD, JOHN (VP OF FINANCE) |
| NPI Enumeration Date | 10/15/2011 |
Related Entities
Other providers sharing the same authorized official: DYBWAD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
78 |
$130K |
| 2024 |
184 |
$372K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
262 |
205 |
$502K |