Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › ABERDEEN › AVERA ST LUKE'S

AVERA ST LUKE'S

NPI: 1649221664 · ABERDEEN, SD 57401 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 05/15/2006

$26K
Total Medicaid Paid
901
Total Claims
24
Beneficiaries
1
Codes Billed
2018-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialJACOBSON, RONALD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: JACOBSON, RONALD

ProviderCityStateTotal Paid
PEDIATRIC NEUROLOGY ASSOCIATES, PC SLEEPY HOLLOW NY $724K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 450 $7K
2021 451 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 901 24 $26K