City of Ulen & Municipal Liquor Store & Viking Manor

City of Ulen & Municipal Liquor Store & Viking Manor was paid $3K by Medicaid between Oct 2018 and Oct 2022, across 3 billing codes. Its largest line is 90662, — 59% of everything it billed.

33Billing provider infoCITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR
ULEN, MN 56585

33aNPI1992861827assigned 12/28/2006

33bProvider typeSkilled Nursing Facility

28Total paid$3K

24GClaims89

24DCodes billed3

24AFirst – last monthOct 2018 – Oct 2022

Compared with peers

Next to other Skilled Nursing Facility providers in Minnesota

Rank by total paid#138 of 198

Median peer was paid$11K

This provider vs. median0.3×

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	27	$959.53
2019	24	$728.20
2020	26	$828.08
2022	12	$716.80

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90662		59%	40	40	$2K
90694		22%	12	12	$716.80
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	18%	37	37	$596.03

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 officialKJOS, TODD (ADMINISTRATOR)