Physician
Altru Health System
Altru Health System was paid $29.75M by Medicaid between Jan 2018 and Dec 2024, across 238 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoALTRU HEALTH SYSTEM
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
33aNPI1043309552assigned 10/12/2006
33bProvider typeThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
28Total paid$29.75M
24GClaims568,080
24DCodes billed238
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GOEBEL, DEREK controls 11+ related entities in our dataset. Read more
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 | 87,415 | $3.04M | |
| 2019 | 82,336 | $4.05M | |
| 2020 | 68,650 | $3.46M | |
| 2021 | 90,338 | $4.79M | |
| 2022 | 87,592 | $5.02M | |
| 2023 | 83,932 | $4.92M | |
| 2024incomplete | 67,817 | $4.48M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 122,257 | 107,035 | $7.16M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 70,971 | 62,621 | $5.99M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 21,727 | 19,858 | $3.44M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.2% | 16,488 | 15,231 | $1.83M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 23,004 | 7,499 | $1.09M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.9% | 13,945 | 13,005 | $856K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 9,740 | 3,462 | $702K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 3,770 | 3,121 | $576K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 6,759 | 6,052 | $526K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 4,800 | 4,374 | $437K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 4,019 | 3,681 | $408K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 26,306 | 24,761 | $405K |
226 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,915 | $395K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 7,107 | $366K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 5,251 | $364K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 3,588 | $352K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,927 | $252K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,423 | $246K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15,378 | $239K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,335 | $239K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 4,489 | $230K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,628 | $213K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,933 | $201K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 29,268 | $188K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,483 | $183K |
| 71045 | Radiologic examination, chest; single view | <1% | 20,257 | $151K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,549 | $150K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 5,902 | $148K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 1,691 | $115K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 1,189 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,378 | $110K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 1,345 | $97K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 807 | $87K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 718 | $77K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 8,097 | $73K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,044 | $60K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 301 | $59K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 897 | $54K |
| 36415 | Collection of venous blood by venipuncture | <1% | 18,013 | $50K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,018 | $47K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,428 | $43K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,903 | $43K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,371 | $42K |
| 92567 | <1% | 3,730 | $40K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 433 | $40K |
| 99221 | <1% | 691 | $40K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 357 | $38K |
| 90686 | <1% | 10,234 | $36K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,351 | $35K |
| 80053 | Comprehensive metabolic panel | <1% | 3,073 | $34K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 125 | $34K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 863 | $31K |
| 20611 | <1% | 329 | $31K | |
| Q3014 | Telehealth originating site facility fee | <1% | 2,035 | $30K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 346 | $30K |
| 11721 | <1% | 2,239 | $27K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 865 | $27K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 810 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 353 | $27K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 360 | $25K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 1,100 | $25K |
| 92015 | Determination of refractive state | <1% | 2,142 | $25K |
| 99205 | Prolong outpt/office vis | <1% | 192 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 262 | $24K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 188 | $23K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 172 | $22K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,658 | $22K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,158 | $21K |
| 99460 | <1% | 262 | $21K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 667 | $19K |
| 73630 | <1% | 2,562 | $18K | |
| 93793 | <1% | 2,558 | $18K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 853 | $18K |
| 93298 | <1% | 612 | $16K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 365 | $15K |
| 95886 | <1% | 190 | $15K | |
| 93294 | <1% | 763 | $15K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 607 | $15K |
| 80061 | Lipid panel | <1% | 1,341 | $14K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 45 | $14K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 388 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 616 | $13K |
| 88342 | <1% | 354 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 580 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,562 | $12K |
| 76830 | Ultrasound, transvaginal | <1% | 434 | $11K |
| 71250 | <1% | 327 | $11K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 226 | $11K |
| 93248 | <1% | 454 | $10K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 42 | $10K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 166 | $10K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 510 | $9K |
| 85027 | <1% | 1,661 | $9K | |
| 87631 | <1% | 80 | $9K | |
| 90474 | <1% | 777 | $9K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 43 | $8K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,308 | $8K |
| 95811 | <1% | 42 | $8K | |
| 0002A | <1% | 200 | $8K | |
| 93297 | <1% | 438 | $7K | |
| 90785 | <1% | 478 | $7K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 75 | $7K |
| 99217 | <1% | 154 | $7K | |
| 73610 | <1% | 873 | $7K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 977 | $7K |
| 0001A | <1% | 229 | $6K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 178 | $6K |
| 90670 | <1% | 2,796 | $5K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 70 | $5K |
| 86780 | <1% | 554 | $5K | |
| 92557 | <1% | 158 | $5K | |
| 62323 | <1% | 41 | $4K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 43 | $4K |
| 73562 | <1% | 593 | $4K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 28 | $4K |
| 95909 | <1% | 38 | $4K | |
| 90715 | <1% | 290 | $4K | |
| 99152 | <1% | 553 | $3K | |
| 95908 | <1% | 38 | $3K | |
| 76937 | <1% | 452 | $3K | |
| 82728 | <1% | 306 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 90 | $3K |
| 92134 | <1% | 168 | $3K | |
| 72141 | <1% | 41 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 406 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 89 | $3K |
| 74018 | <1% | 394 | $3K | |
| 95910 | <1% | 15 | $3K | |
| 82607 | <1% | 217 | $3K | |
| 96127 | <1% | 956 | $3K | |
| 95911 | <1% | 13 | $2K | |
| V5266 | Battery for use in hearing device | <1% | 207 | $2K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 19 | $2K |
| 73030 | <1% | 245 | $2K | |
| 90651 | <1% | 94 | $2K | |
| 87653 | <1% | 64 | $2K | |
| 81003 | <1% | 993 | $2K | |
| 90656 | <1% | 625 | $2K | |
| 81001 | <1% | 832 | $2K | |
| 93922 | <1% | 248 | $2K | |
| 87340 | <1% | 262 | $2K | |
| 73110 | <1% | 234 | $2K | |
| 64615 | <1% | 39 | $2K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 24 | $2K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 28 | $2K |
| 86140 | <1% | 404 | $2K | |
| 93295 | <1% | 76 | $2K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 15 | $2K |
| 0004A | <1% | 30 | $2K | |
| 98942 | <1% | 20 | $2K | |
| 95885 | <1% | 26 | $1K | |
| 92002 | <1% | 25 | $1K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 13 | $1K |
| 86803 | <1% | 121 | $1K | |
| 93246 | <1% | 91 | $1K | |
| 43235 | <1% | 12 | $1K | |
| 0071A | <1% | 73 | $1K | |
| 88141 | <1% | 120 | $1K | |
| 73502 | <1% | 143 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $1K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 29 | $1K |
| 93976 | <1% | 49 | $1K | |
| 76801 | <1% | 29 | $1K | |
| 93296 | <1% | 42 | $1K | |
| 86850 | <1% | 170 | $1K | |
| 86769 | <1% | 40 | $920.36 | |
| 92558 | <1% | 122 | $919.84 | |
| 97803 | <1% | 16 | $818.22 | |
| 0072A | <1% | 48 | $759.92 | |
| 85652 | <1% | 312 | $744.93 | |
| 82043 | <1% | 159 | $743.53 | |
| 72100 | <1% | 69 | $738.08 | |
| 94060 | <1% | 100 | $733.20 | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 12 | $659.28 |
| 73130 | <1% | 76 | $605.10 | |
| 94726 | <1% | 69 | $596.19 | |
| 95800 | <1% | 12 | $566.17 | |
| 93971 | <1% | 35 | $554.49 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 142 | $540.28 |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 16 | $534.25 |
| 76642 | <1% | 17 | $488.91 | |
| 77001 | <1% | 35 | $478.77 | |
| 94729 | <1% | 69 | $444.25 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $414.40 |
| 92504 | <1% | 14 | $413.47 | |
| 20610 | <1% | 25 | $370.95 | |
| 11056 | <1% | 20 | $369.78 | |
| 87280 | <1% | 51 | $368.82 | |
| 87210 | <1% | 90 | $332.68 | |
| 76775 | <1% | 29 | $327.87 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $313.95 |
| 86901 | <1% | 160 | $286.97 | |
| 86900 | <1% | 160 | $286.97 | |
| 82570 | <1% | 41 | $264.04 | |
| 80069 | <1% | 26 | $245.43 | |
| 99421 | <1% | 15 | $220.55 | |
| 81025 | <1% | 63 | $208.00 | |
| 74230 | <1% | 13 | $195.73 | |
| 84156 | <1% | 41 | $187.19 | |
| 85610 | <1% | 39 | $185.12 | |
| 99220 | <1% | 16 | $182.64 | |
| 92587 | <1% | 27 | $174.32 | |
| 80076 | <1% | 72 | $124.20 | |
| 90734 | <1% | 50 | $122.31 | |
| 84439 | <1% | 12 | $115.08 | |
| 85018 | <1% | 104 | $104.10 | |
| 82565 | <1% | 17 | $96.73 | |
| 17110 | <1% | 15 | $78.82 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 63 | $72.28 |
| 87480 | <1% | 26 | $50.52 | |
| 87510 | <1% | 26 | $50.52 | |
| 87660 | <1% | 26 | $50.52 | |
| 90677 | <1% | 208 | $32.78 | |
| 90685 | <1% | 182 | $22.26 | |
| 90658 | <1% | 12 | $21.86 | |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 14 | $8.07 |
| 91300 | <1% | 729 | $0.53 | |
| 91307 | <1% | 242 | $0.33 | |
| 91305 | <1% | 32 | $0.31 | |
| 90619 | <1% | 12 | $0.10 | |
| 90698 | <1% | 1,807 | $0.01 | |
| 90680 | 0% | 681 | $0.00 | |
| 90744 | 0% | 336 | $0.00 | |
| 90697 | 0% | 226 | $0.00 | |
| 90723 | 0% | 310 | $0.00 | |
| 86762 | 0% | 14 | $0.00 | |
| 90716 | 0% | 35 | $0.00 | |
| 90647 | 0% | 292 | $0.00 | |
| 3074F | 0% | 93 | $0.00 | |
| 90696 | 0% | 57 | $0.00 | |
| 98943 | 0% | 38 | $0.00 | |
| 90633 | 0% | 543 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 3078F | 0% | 66 | $0.00 | |
| 90681 | 0% | 65 | $0.00 | |
| 90710 | 0% | 74 | $0.00 | |
| 90707 | 0% | 33 | $0.00 | |
| 83540 | 0% | 12 | $0.00 |
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 officialGOEBEL, DEREK (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Altru Health System | Crookston, MN | $1.56M |
| Altru Health System | Devils Lake, ND | $1.54M |
| Altru Health System | Roseau, MN | $1.16M |
| Altru Health System | Warroad, MN | $490K |
| Altru Health System | East Grand Forks, MN | $458K |
| Altru Health System | Thief River Falls, MN | $236K |
| Altru Health System | Grand Forks, ND | $170K |
| Altru Health System | Grand Forks, ND | $22K |
| Altru Health System | Greenbush, MN | $9K |
| Altru Health System | Grand Forks, ND | $2K |
| Altru Health System | Drayton, ND | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.