GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
NPI: 1003873266
· CLINTON, MO 64735
· 261QR1300X
$5.57M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,449 |
$1.60M |
| 2019 |
11,794 |
$1.45M |
| 2020 |
6,912 |
$726K |
| 2021 |
4,701 |
$389K |
| 2022 |
5,756 |
$472K |
| 2023 |
6,106 |
$504K |
| 2024 |
4,544 |
$422K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
23,647 |
20,770 |
$2.74M |
| 99214 |
|
14,741 |
12,366 |
$1.64M |
| 99212 |
|
4,274 |
2,805 |
$364K |
| 99392 |
|
994 |
979 |
$168K |
| 99391 |
|
1,112 |
1,067 |
$166K |
| 99309 |
|
3,071 |
2,714 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,036 |
785 |
$124K |
| 90834 |
|
1,000 |
686 |
$76K |
| 90832 |
|
621 |
527 |
$46K |
| 96110 |
|
267 |
264 |
$45K |
| 99393 |
|
126 |
126 |
$20K |
| 90791 |
|
120 |
105 |
$19K |
| 99394 |
|
60 |
60 |
$11K |
| 99406 |
|
334 |
279 |
$6K |
| 99395 |
|
28 |
25 |
$5K |
| 90792 |
|
41 |
25 |
$4K |
| 99205 |
Prolong outpt/office vis |
20 |
20 |
$3K |
| 96127 |
|
637 |
577 |
$2K |
| 99308 |
|
16 |
13 |
$559.63 |
| 92002 |
|
12 |
12 |
$385.08 |
| 99441 |
|
18 |
17 |
$99.90 |
| 92015 |
|
13 |
13 |
$69.55 |
| 11721 |
|
15 |
15 |
$44.82 |
| 3074F |
|
294 |
264 |
$0.00 |
| 3079F |
|
84 |
77 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| G9920 |
Scrning perf and negative |
342 |
326 |
$0.00 |
| 3078F |
|
241 |
218 |
$0.00 |
| G2211 |
Complex e/m visit add on |
69 |
69 |
$0.00 |