CITY OF LAKES CARE CENTER
NPI: 1669478129
· MINNEAPOLIS, MN 55404
· Skilled Nursing Facility
· NPI assigned 06/21/2005
Provider Details
| Authorized Official | MOMANYI, PETER (ADMINISTRATOR / CEO) |
| NPI Enumeration Date | 06/21/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
97 |
$2K |
| 2019 |
112 |
$3K |
| 2020 |
179 |
$4K |
| 2021 |
84 |
$3K |
| 2022 |
165 |
$6K |
| 2023 |
1,005 |
$50K |
| 2024 |
54 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
402 |
66 |
$25K |
| 97110 |
|
527 |
65 |
$20K |
| 90694 |
|
122 |
105 |
$5K |
| 91322 |
|
44 |
39 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
287 |
265 |
$4K |
| 90756 |
|
93 |
92 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
103 |
70 |
$2K |
| 90653 |
|
27 |
19 |
$1K |
| 90480 |
|
43 |
39 |
$1K |
| 90656 |
|
48 |
47 |
$746.83 |