Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHELL LAKE SNF LLC

NPI: 1295939049 · SHELL LAKE, WI 54871 · Skilled Nursing Facility · NPI assigned 06/14/2007

$2K
Total Medicaid Paid
47
Total Claims
41
Beneficiaries
2
Codes Billed
2024-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialHANSEN, JONATHON (CEO)
NPI Enumeration Date06/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 47 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 23 20 $903.00
S0215 Non-emergency transportation; mileage, per mile 24 21 $695.40