PRAIRIE SUNSET HOME, INC
NPI: 1588641823
· PRETTY PRAIRIE, KS 67570
· Nursing Facility/Intermediate Care Facility
· NPI assigned 12/28/2005
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MARIS, REX (ADMINISTRATOR) |
| NPI Enumeration Date | 12/28/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |