MOUNDRIDGE MANOR INC.
NPI: 1972578037
· MOUNDRIDGE, KS 67107
· Nursing Facility/Intermediate Care Facility
· NPI assigned 02/22/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | UNRUH, KEVIN (ADMINISTRATOR) |
| NPI Enumeration Date | 02/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
74 |
$0.00 |
| 2019 |
84 |
$0.00 |
| 2020 |
72 |
$0.00 |
| 2021 |
76 |
$0.00 |
| 2022 |
58 |
$0.00 |
| 2023 |
88 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
79 |
79 |
$0.00 |
| 90686 |
|
103 |
103 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
226 |
205 |
$0.00 |
| 90694 |
|
44 |
23 |
$0.00 |