Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › RAPID CITY › EDGEWOOD RAPID CITY LLC

EDGEWOOD RAPID CITY LLC

NPI: 1972076024 · RAPID CITY, SD 57701 · Assisted Living Facility · NPI assigned 01/10/2019

$639K
Total Medicaid Paid
528
Total Claims
492
Beneficiaries
1
Codes Billed
2021-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDYBWAD, JOHN (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date01/10/2019

Related Entities

Other providers sharing the same authorized official: DYBWAD, JOHN

ProviderCityStateTotal Paid
EDGEWOOD FRUITLAND SENIOR LIVING LLC FRUITLAND ID $2.55M
EDGEWOOD SPRING CREEK OVERLAND, LLC BOISE ID $2.22M
EDGEWOOD CASTLE HILLS LLC BOISE ID $2.06M
EDGEWOOD SPRING CREEK BOISE, LLC BOISE ID $1.57M
EDGEWOOD SPRING CREEK EAGLE ISLAND LLC BOISE ID $1.28M
EDGEWOOD SPRING CREEK AMERICAN FALLS, LLC AMERICAN FALLS ID $1.03M
EDGEWOOD SPRING CREEK USTICK, LLC MERIDIAN ID $502K
EDGEWOOD PLANTATION PLACE LLC BOISE ID $201K
EDGEWOOD SPRING CREEK EAGLE, LLC EAGLE ID $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 159 $185K
2022 182 $204K
2023 139 $155K
2024 48 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 528 492 $639K