STONEBRIDGE ASSISTED LIVING LLC
NPI: 1326702549
· GLENNS FERRY, ID 83623
· 310400000X
$499K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
174 |
$66K |
| 2021 |
155 |
$94K |
| 2022 |
12 |
$24K |
| 2023 |
124 |
$315K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Adult foster care per diem |
136 |
110 |
$339K |
| T1019 |
Personal care ser per 15 min |
223 |
167 |
$144K |
| S5130 |
Homaker service nos per 15m |
106 |
72 |
$16K |