Medicaid Provider Spending

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

LAKESHORE INN NURSING HOME INC

NPI: 1457355844 · WASECA, MN 56093 · Skilled Nursing Facility · NPI assigned 06/13/2005

$190.41
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2019-11
First Month
2019-11
Last Month

Provider Details

Authorized OfficialMADEL, R. P. (ADMINISTRATOR)
NPI Enumeration Date06/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $190.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 13 13 $190.41