Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › SHORELINE › NORTH LAKE 5-O, LLC

NORTH LAKE 5-O, LLC

NPI: 1447647482 · SHORELINE, WA 98155 · Skilled Nursing Facility · NPI assigned 04/16/2015

$319.90
Total Medicaid Paid
214
Total Claims
24
Beneficiaries
1
Codes Billed
2021-09
First Month
2021-10
Last Month

Provider Details

Authorized OfficialNEWBERRY, BRIAN (MANAGER)
NPI Enumeration Date04/16/2015

Related Entities

Other providers sharing the same authorized official: NEWBERRY, BRIAN

ProviderCityStateTotal Paid
GADZOOM HEALTH LLC LEHI UT $1.11M
THIRTY THREE OAKS, LLC VANCOUVER WA $13K
LAKEWOOD OAKS, LLC LAKEWOOD WA $784.38

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 214 $319.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 214 24 $319.90