Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › GAYLORD › OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC

OAK TERRACE HEALTH CARE CENTER OF GAYLORD ,LLC

NPI: 1285820092 · GAYLORD, MN 55334 · Skilled Nursing Facility · NPI assigned 09/15/2007

$2K
Total Medicaid Paid
112
Total Claims
109
Beneficiaries
4
Codes Billed
2019-10
First Month
2020-09
Last Month

Provider Details

Authorized OfficialMONTAG, MICHAEL (OWNER)
NPI Enumeration Date09/15/2007

Related Entities

Other providers sharing the same authorized official: MONTAG, MICHAEL

ProviderCityStateTotal Paid
OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC GAYLORD MN $1.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 50 $774.69
2020 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 13 13 $720.00
Q3014 Telehealth originating site facility fee 36 33 $701.97
G0008 Administration of influenza virus vaccine 38 38 $575.43
90686 25 25 $411.18