Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EVENTIDE
NPI: 1487705653 · MOORHEAD, MN 56560 ·
Skilled Nursing Facility
· NPI assigned 01/15/2007
$10K
Total Medicaid Paid
297
Total Claims
293
Beneficiaries
5
Codes Billed
2019-10
First Month
2024-10
Last Month
Provider Details
Authorized Official
STUBSON, WADE
(CFO)
NPI Enumeration Date
01/15/2007
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
86
$3K
2020
56
$2K
2021
68
$2K
2022
60
$3K
2024
27
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90694
63
62
$4K
90662
71
70
$3K
G0008
Administration of influenza virus vaccine
135
133
$2K
90653
14
14
$975.80
0013A
14
14
$370.08