MAPLE LAKE RECOVERY CENTER, INC.
NPI: 1760587109
· MAPLE LAKE, MN 55358
· Children's Substance Abuse Rehabilitation Facility
· NPI assigned 09/13/2006
$853K
Total Medicaid Paid
Provider Details
| Authorized Official | FEENSTRA, JUDITH (ADMINISTRATOR) |
| NPI Enumeration Date | 09/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
385 |
$175K |
| 2019 |
240 |
$315K |
| 2020 |
264 |
$363K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
889 |
262 |
$853K |