ST. WILLIAM'S LIVING CENTER
NPI: 1538292156
· PARKERS PRAIRIE, MN 56361
· Skilled Nursing Facility
· NPI assigned 03/13/2007
Provider Details
| Authorized Official | KELLY, TIM (ADMINISTRATOR) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
107 |
$4K |
| 2019 |
41 |
$2K |
| 2020 |
125 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90662 |
|
52 |
50 |
$3K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
32 |
12 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
55 |
53 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
87 |
78 |
$2K |
| H0046 |
Mental health services, not otherwise specified |
47 |
14 |
$411.87 |