Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › LEWISTON › LEWISTON ROYAL PLAZA RETIREMENT, LLC

LEWISTON ROYAL PLAZA RETIREMENT, LLC

NPI: 1376940809 · LEWISTON, ID 83501 · Assisted Living Facility · NPI assigned 11/26/2014

$41K
Total Medicaid Paid
56
Total Claims
49
Beneficiaries
1
Codes Billed
2021-05
First Month
2021-08
Last Month

Provider Details

Authorized OfficialPATTERSON, DALE (CEO AND MANAGER)
Parent OrganizationEMPRES IDAHO HEALTHCARE LLC
NPI Enumeration Date11/26/2014

Related Entities

Other providers sharing the same authorized official: PATTERSON, DALE

ProviderCityStateTotal Paid
EVERGREEN IDAHO HEALTHCARE SANDPOINT, L.L.C. SANDPOINT ID $521K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 56 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 56 49 $41K