STEWARTVILLE NURSING HOME, INC.
NPI: 1871610113
· STEWARTVILLE, MN 55976
· Skilled Nursing Facility
· NPI assigned 03/23/2007
$815.76
Total Medicaid Paid
Provider Details
| Authorized Official | GUSTASON, EUGENE (ADMINISTRATOR) |
| NPI Enumeration Date | 03/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$815.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
13 |
13 |
$536.31 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$279.45 |