Medicaid Provider Spending

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

HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME

NPI: 1932285061 · HENDRICKS, MN 56136 · Skilled Nursing Facility · NPI assigned 10/31/2006

$5K
Total Medicaid Paid
75
Total Claims
73
Beneficiaries
4
Codes Billed
2022-09
First Month
2023-11
Last Month

Provider Details

Authorized OfficialGOLLAHER, JEFF (CEO)
NPI Enumeration Date10/31/2006

Related Entities

Other providers sharing the same authorized official: GOLLAHER, JEFF

ProviderCityStateTotal Paid
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME HENDRICKS MN $40K
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME HENDRICKS MN $6K
HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME IVANHOE MN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 24 $2K
2023 51 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 37 37 $3K
91320 13 12 $1K
90480 13 12 $406.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $28.43