REDEEMER RESIDENCE, INC.
NPI: 1619965365
· MINNEAPOLIS, MN 55408
· Skilled Nursing Facility
· NPI assigned 10/07/2005
Provider Details
| Authorized Official | MICKELSON, PAUL (CORPORATE A/R MANAGER) |
| NPI Enumeration Date | 10/07/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$55.22 |
| 2019 |
65 |
$1K |
| 2020 |
95 |
$1K |
| 2022 |
47 |
$2K |
| 2023 |
33 |
$2K |
| 2024 |
30 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90677 |
|
15 |
15 |
$4K |
| 90694 |
|
33 |
33 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
112 |
112 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
95 |
68 |
$1K |
| 90653 |
|
27 |
27 |
$728.78 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$422.80 |
| 90662 |
|
14 |
14 |
$0.00 |