Medicaid Provider Spending

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

HACIENDA SKILLED NURSING FACILITY

NPI: 1831322676 · PHOENIX, AZ 85042 · Pediatric Skilled Nursing Facility · NPI assigned 08/27/2009

$8K
Total Medicaid Paid
263
Total Claims
104
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-08
Last Month

Provider Details

Authorized OfficialSKURDAHL, DALE (CHIEF OPERATING OFFICER)
NPI Enumeration Date08/27/2009

Related Entities

Other providers sharing the same authorized official: SKURDAHL, DALE

ProviderCityStateTotal Paid
LOS NINOS HOSPITAL INC. PHOENIX AZ $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 263 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0209 Wheelchair van, mileage, per mile 132 52 $5K
A0130 Non-emergency transportation: wheelchair van 131 52 $3K