Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EVERGREEN IDAHO HEALTHCARE SANDPOINT, L.L.C.

NPI: 1891003554 · SANDPOINT, ID 83864 · Assisted Living Facility · NPI assigned 09/15/2010

$521K
Total Medicaid Paid
447
Total Claims
395
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialPATTERSON, DALE (MANAGER)
Parent OrganizationEVERGREEN IDAHO HEALTHCARE, L.L.C.
NPI Enumeration Date09/15/2010

Related Entities

Other providers sharing the same authorized official: PATTERSON, DALE

ProviderCityStateTotal Paid
LEWISTON ROYAL PLAZA RETIREMENT, LLC LEWISTON ID $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 447 $521K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 447 395 $521K