City of Lakes Care Center

City of Lakes Care Center was paid $68K by Medicaid between Oct 2018 and Oct 2024, across 10 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 37% of everything it billed.

33Billing provider infoCITY OF LAKES CARE CENTER
MINNEAPOLIS, MN 55404

33aNPI1669478129assigned 06/21/2005

33bProvider typeSkilled Nursing Facility

28Total paid$68K

24GClaims1,696

24DCodes billed10

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Skilled Nursing Facility providers in Minnesota

Rank by total paid#54 of 198

Median peer was paid$11K

This provider vs. median6.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	97	$2K
2019	112	$3K
2020	179	$4K
2021	84	$3K
2022	165	$6K
2023	1,005	$50K
2024incomplete	54	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	37%	402	66	$25K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	30%	527	65	$20K
90694		7.9%	122	105	$5K
91322		7.1%	44	39	$5K
G0008	Administration of influenza virus vaccine	6.1%	287	265	$4K
90756		4.3%	93	92	$3K
Q3014	Telehealth originating site facility fee	3.3%	103	70	$2K
90653		1.7%	27	19	$1K
90480		1.5%	43	39	$1K
90656		1.1%	48	47	$746.83

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMOMANYI, PETER (ADMINISTRATOR / CEO)