THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1053392548
· GARDEN CITY, ID 83714
· 332BN1400X
$13.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,230 |
$1.85M |
| 2019 |
977 |
$1.92M |
| 2020 |
574 |
$1.70M |
| 2021 |
865 |
$2.00M |
| 2022 |
614 |
$2.20M |
| 2023 |
229 |
$2.07M |
| 2024 |
175 |
$1.80M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
4,357 |
1,505 |
$13.54M |
| 97530 |
|
179 |
27 |
$777.46 |
| Q3014 |
Telehealth facility fee |
46 |
38 |
$109.62 |
| 97116 |
|
82 |
12 |
$90.39 |