THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1053301457
· SILVERTON, ID 83867
· 332BP3500X
$113K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
351 |
$69K |
| 2020 |
261 |
$44K |
| 2021 |
23 |
$194.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Adult foster care per diem |
533 |
101 |
$112K |
| Q3014 |
Telehealth facility fee |
102 |
79 |
$519.67 |