MISSION FARM NURSING HOME, INC
NPI: 1942213954
· PLYMOUTH, MN 55441
· Skilled Nursing Facility
· NPI assigned 08/14/2006
Provider Details
| Authorized Official | CLARK, DELBERT (ADMINISTRATOR) |
| NPI Enumeration Date | 08/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$18.24 |
| 2019 |
28 |
$701.11 |
| 2020 |
15 |
$704.39 |
| 2021 |
12 |
$95.37 |
| 2022 |
26 |
$371.51 |
| 2024 |
55 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
55 |
12 |
$5K |
| 90682 |
|
15 |
13 |
$704.39 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$531.46 |
| 90756 |
|
14 |
14 |
$352.16 |
| 90694 |
|
13 |
13 |
$284.37 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$18.24 |