Nursing facility
Hendricks Community Hospital Assn & Retirement Home
Hendricks Community Hospital Assn & Retirement Home was paid $5K by Medicaid between Sep 2022 and Nov 2023, across 4 billing codes. Its largest line is 90662, — 66% of everything it billed.
33Billing provider infoHENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
HENDRICKS, MN 56136
HENDRICKS, MN 56136
33aNPI1932285061assigned 10/31/2006
33bProvider typeSkilled Nursing Facility
28Total paid$5K
24GClaims75
24DCodes billed4
24AFirst – last monthSep 2022 – Nov 2023
Compared with peers
Next to other Skilled Nursing Facility providers in Minnesota
Rank by total paid#125 of 198
Median peer was paid$11K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 24 | $2K | |
| 2023 | 51 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90662 | 66% | 37 | 37 | $3K | |
| 91320 | 26% | 13 | 12 | $1K | |
| 90480 | 7.9% | 13 | 12 | $406.09 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $28.43 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGOLLAHER, JEFF (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.