Medicaid Provider Spending

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

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
655
Total Claims
550
Beneficiaries
1
Codes Billed
2021-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDYBWAD, JOHN (VP OF FINANCE)
NPI Enumeration Date09/27/2011

Related Entities

Other providers sharing the same authorized official: DYBWAD, JOHN

ProviderCityStateTotal Paid
EDGEWOOD FRUITLAND SENIOR LIVING LLC FRUITLAND ID $2.55M
EDGEWOOD SPRING CREEK OVERLAND, LLC BOISE ID $2.22M
EDGEWOOD CASTLE HILLS LLC BOISE ID $2.06M
EDGEWOOD SPRING CREEK EAGLE ISLAND LLC BOISE ID $1.28M
EDGEWOOD SPRING CREEK AMERICAN FALLS, LLC AMERICAN FALLS ID $1.03M
EDGEWOOD RAPID CITY LLC RAPID CITY SD $639K
EDGEWOOD SPRING CREEK USTICK, LLC MERIDIAN ID $502K
EDGEWOOD PLANTATION PLACE LLC BOISE ID $201K
EDGEWOOD SPRING CREEK EAGLE, LLC EAGLE ID $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 113 $124K
2022 80 $133K
2023 246 $669K
2024 216 $640K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 655 550 $1.57M