Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › ST LOUIS PARK › SHOLOM HOME WEST INC

SHOLOM HOME WEST INC

NPI: 1770560005 · ST LOUIS PARK, MN 55426 · Skilled Nursing Facility · NPI assigned 12/28/2005

$55K
Total Medicaid Paid
1,473
Total Claims
471
Beneficiaries
6
Codes Billed
2018-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWYCKOFF, DOUGLAS (CONTROLLER)
NPI Enumeration Date12/28/2005

Related Entities

Other providers sharing the same authorized official: WYCKOFF, DOUGLAS

ProviderCityStateTotal Paid
SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE ST LOUIS PARK MN $6.65M
SHOLOM COMMUNITY ALLIANCE, LLC ST LOUIS PARK MN $1.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 243 $3K
2019 128 $2K
2020 32 $629.85
2021 41 $2K
2022 453 $18K
2023 411 $20K
2024 165 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,058 280 $40K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 297 75 $12K
G0008 Administration of influenza virus vaccine 59 58 $956.81
90685 26 26 $488.16
90756 16 16 $415.35
90630 17 16 $322.88