Medicaid Provider Spending

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

NPI: 1356438584 · ORANGE CITY, IA 51041 · Public Health or Welfare Agency · NPI assigned 10/09/2006

$10K
Total Medicaid Paid
323
Total Claims
307
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialDYKSTRA, NANCY (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 323 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 254 243 $10K
90670 27 27 $0.00
90698 13 13 $0.00
90656 29 24 $0.00