EDGEWOOD JAMESTOWN,LLC
NPI: 1891241139
· GRAND FORKS, ND 58201
· Assisted Living Facility
· NPI assigned 08/28/2016
$847K
Total Medicaid Paid
Provider Details
| Authorized Official | CARLSON, REX (CFO) |
| NPI Enumeration Date | 08/28/2016 |
Related Entities
Other providers sharing the same authorized official: CARLSON, REX
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
13 |
$35K |
| 2022 |
843 |
$84K |
| 2023 |
4,092 |
$490K |
| 2024 |
2,090 |
$238K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
7,025 |
231 |
$812K |
| 00042 |
|
13 |
12 |
$35K |