ST. JOHN'S LUTHERAN HOME
NPI: 1679566046
· ALBERT LEA, MN 56007
· 314000000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$928.40 |
| 2019 |
40 |
$0.00 |
| 2020 |
48 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
18 |
18 |
$976.00 |
| G0008 |
Admin influenza virus vac |
72 |
72 |
$707.60 |
| 90674 |
|
54 |
54 |
$500.00 |
| Q3014 |
Telehealth facility fee |
12 |
12 |
$239.83 |