Medicaid Provider Spending

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

MALLARD RIDGE LLC

NPI: 1861523896 · KERNERSVILLE, NC 27284 · Assisted Living Facility · NPI assigned 03/09/2007

$17K
Total Medicaid Paid
415
Total Claims
13
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialHENNESSEE, TRACY (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 415 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 415 13 $17K