Medicaid Provider Spending

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

EDENCREST AT BEAVERDALE

NPI: 1427563022 · DES MOINES, IA 50310 · Assisted Living Facility · NPI assigned 12/06/2017

$22K
Total Medicaid Paid
56
Total Claims
39
Beneficiary Records
3
Codes Billed
2022-09
First Month
2022-09
Last Month

Provider Details

Authorized OfficialPATTERSON, SAM (MANAGER)
Parent OrganizationBEAVERDALE SENIOR LIVING, LLC
NPI Enumeration Date12/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 56 $22K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
S5125 Attendant care services; per 15 minutes 15 13 $9K
T2031 Assisted living; waiver, per diem 13 13 $8K
S5170 Home delivered meals, including preparation; per meal 28 13 $5K