Medicaid Provider Spending

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

GREEN PINE ACRES NURSING HOME

NPI: 1922160159 · MENAHGA, MN 56464 · Skilled Nursing Facility · NPI assigned 12/14/2006

$15K
Total Medicaid Paid
285
Total Claims
271
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAHLF, LAURA (ADMINISTRATOR)
NPI Enumeration Date12/14/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $1K
2019 64 $2K
2020 13 $609.80
2021 44 $2K
2022 44 $2K
2023 58 $5K
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90694 75 73 $4K
90662 74 68 $3K
90677 19 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 78 78 $2K
91322 13 13 $2K
90653 13 13 $1K
90480 13 13 $485.85