Medicaid Provider Spending

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

MARYMOUNT MANOR LLC

NPI: 1457412587 · EUREKA, MO 63025 · Skilled Nursing Facility · NPI assigned 12/13/2006

$495.90
Total Medicaid Paid
65
Total Claims
12
Beneficiaries
1
Codes Billed
2019-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialRILEY, CHARLES (MEMEBER)
NPI Enumeration Date12/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 65 $495.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 65 12 $495.90