WILD RIVER SERVICES
NPI: 1679988109
· SAINT PAUL, MN 55103
· Substance Abuse Rehabilitation Facility
· NPI assigned 06/23/2014
$959K
Total Medicaid Paid
Provider Details
| Authorized Official | FAULKNER, COLIN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/23/2014 |
Related Entities
Other providers sharing the same authorized official: FAULKNER, COLIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
396 |
$363K |
| 2019 |
304 |
$596K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
700 |
477 |
$959K |