Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CITY OF ULEN & MUNICIPAL LIQUOR STORE & VIKING MANOR

NPI: 1992861827 · ULEN, MN 56585 · Skilled Nursing Facility · NPI assigned 12/28/2006

$3K
Total Medicaid Paid
89
Total Claims
89
Beneficiary Records
3
Codes Billed
2018-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialKJOS, TODD (ADMINISTRATOR)
NPI Enumeration Date12/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $959.53
2019 24 $728.20
2020 26 $828.08
2022 12 $716.80

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90662 40 40 $2K
90694 12 12 $716.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37 37 $596.03