ESTATES AT ST LOUIS PARK LLC
NPI: 1689112153
· ST LOUIS PARK, MN 55426
· 314000000X
$633K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,433 |
$71K |
| 2019 |
2,390 |
$67K |
| 2020 |
2,190 |
$68K |
| 2021 |
8,559 |
$241K |
| 2022 |
4,681 |
$141K |
| 2023 |
415 |
$14K |
| 2024 |
833 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
12,611 |
990 |
$398K |
| 97110 |
|
6,795 |
546 |
$155K |
| 97535 |
|
1,151 |
224 |
$41K |
| 97112 |
|
1,151 |
192 |
$26K |
| 97116 |
|
722 |
70 |
$13K |
| 90662 |
|
14 |
13 |
$510.48 |
| G0008 |
Admin influenza virus vac |
27 |
26 |
$261.41 |
| Q3014 |
Telehealth facility fee |
30 |
21 |
$214.36 |