Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD SAMARITAN MEDICAL CENTER, LLC

NPI: 1043250780 · LAFAYETTE, CO 80026 · Internal Medicine Physician · NPI assigned 06/08/2006

$5K
Total Medicaid Paid
152
Total Claims
64
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialFADDEN, SEAN (VP FINANCE)
Parent OrganizationSISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC
NPI Enumeration Date06/08/2006

Related Entities

Other providers sharing the same authorized official: FADDEN, SEAN

ProviderCityStateTotal Paid
SCL HEALTH FRONT RANGE INC WHEAT RIDGE CO $9K
SCL HEALTH FRONT RANGE INC LAKEWOOD CO $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 38 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34 26 $2K