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EDGEWOOD SPRING CREEK OVERLAND, LLC
EDGEWOOD SPRING CREEK OVERLAND, LLC
NPI: 1497038301
· BOISE, ID 83709
· Assisted Living Facility
· NPI assigned 09/27/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5140 with only 1 total codes billed. Highly concentrated billing profile.
$2.22M
Total Medicaid Paid
Provider Details
| Authorized Official | DYBWAD, JOHN (VP OF FINANCE) |
| NPI Enumeration Date | 09/27/2011 |
Related Entities
Other providers sharing the same authorized official: DYBWAD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
198 |
$242K |
| 2019 |
241 |
$272K |
| 2020 |
229 |
$255K |
| 2021 |
256 |
$233K |
| 2022 |
301 |
$313K |
| 2023 |
342 |
$466K |
| 2024 |
199 |
$438K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
1,766 |
1,522 |
$2.22M |