Medicaid Provider Spending

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

ST. WILLIAM'S LIVING CENTER

NPI: 1538292156 · PARKERS PRAIRIE, MN 56361 · Skilled Nursing Facility · NPI assigned 03/13/2007

$9K
Total Medicaid Paid
273
Total Claims
207
Beneficiaries
5
Codes Billed
2018-04
First Month
2020-12
Last Month

Provider Details

Authorized OfficialKELLY, TIM (ADMINISTRATOR)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107 $4K
2019 41 $2K
2020 125 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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