Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DES MOINES VALLEY HEALTH AND HUMAN SERVICES

NPI: 1821091026 · JACKSON, MN 56143 · Public Health or Welfare Agency · NPI assigned 05/23/2005

$1.26M
Total Medicaid Paid
13,335
Total Claims
10,287
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBEZDICEK, MARY (FISCAL OFFICER/EXECUTIVE ASSISTANT)
NPI Enumeration Date05/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,595 $41K
2019 1,983 $166K
2020 1,432 $162K
2021 1,372 $189K
2022 1,826 $217K
2023 2,697 $243K
2024 2,430 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 7,823 5,873 $1.10M
T1030 Nursing care, in the home, by registered nurse, per diem 1,702 783 $81K
T1013 Sign language or oral interpretive services, per 15 minutes 594 541 $28K
T1015 Clinic visit/encounter, all-inclusive 419 377 $17K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 138 137 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,358 1,303 $9K
99188 321 307 $4K
D1206 Topical application of fluoride varnish 355 353 $2K
96127 492 481 $2K
98960 14 13 $560.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54 54 $397.88
90662 18 18 $210.08
90686 16 16 $96.70
90756 16 16 $85.92
G0008 Administration of influenza virus vaccine 15 15 $0.00