EDGEWOOD SPRING CREEK BOISE, LLC
NPI: 1871876789
· BOISE, ID 83713
· Assisted Living Facility
· NPI assigned 09/27/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5140 with only 1 total codes billed. Highly concentrated billing profile.
$1.57M
Total Medicaid Paid
Provider Details
| Authorized Official | DYBWAD, JOHN (VP OF FINANCE) |
| NPI Enumeration Date | 09/27/2011 |
Related Entities
Other providers sharing the same authorized official: DYBWAD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
113 |
$124K |
| 2022 |
80 |
$133K |
| 2023 |
246 |
$669K |
| 2024 |
216 |
$640K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
655 |
550 |
$1.57M |