Nursing facility
Country Manor Campus LLC
Country Manor Campus LLC was paid $4K by Medicaid between Oct 2018 and Oct 2024, across 4 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 58% of everything it billed.
33Billing provider infoCOUNTRY MANOR CAMPUS LLC
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1952575011assigned 04/18/2008
33bProvider typeSkilled Nursing Facility
28Total paid$4K
24GClaims77
24DCodes billed4
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Skilled Nursing Facility providers in Minnesota
Rank by total paid#130 of 198
Median peer was paid$11K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 24 | $0.00 | |
| 2019 | 25 | $2K | |
| 2024incomplete | 28 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 58% | 25 | 12 | $2K |
| 90662 | 31% | 14 | 14 | $1K | |
| G0008 | Administration of influenza virus vaccine | 11% | 26 | 26 | $445.16 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 12 | 12 | $0.00 |
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 officialHARGUTH, KEVIN (C.F.O.)
Parent organizationTHE FOUNDATION FOR HEALTH CARE CONTINUUMS
| Provider | Location | Paid |
|---|---|---|
| Country Manor Campus LLC | Sartell, MN | $1.55M |
| Country Manor Campus LLC | Sartell, MN | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.