Medicaid Provider Spending

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

THE MOOSE SHACK

NPI: 1629281126 · EAGLE RIVER, AK 99577 · Assisted Living Facility · NPI assigned 05/08/2007

$39K
Total Medicaid Paid
501
Total Claims
12
Beneficiaries
1
Codes Billed
2021-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialBISHOP, CANDIS (CEO)
NPI Enumeration Date05/08/2007

Related Entities

Other providers sharing the same authorized official: BISHOP, CANDIS

ProviderCityStateTotal Paid
WILLOWCREEK ADULT DAY CENTER INCORPORATED DBA WILLOWCREEK AK TRANSPORT ANCHORAGE AK $679K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 501 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 501 12 $39K