GOOD SAMARITAN HOSPITAL
NPI: 1053419721
· VINCENNES, IN 47591
· 332B00000X
$144K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
213 |
$9K |
| 2019 |
476 |
$19K |
| 2020 |
482 |
$20K |
| 2021 |
300 |
$22K |
| 2022 |
406 |
$26K |
| 2023 |
507 |
$27K |
| 2024 |
414 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4387 |
Non-pneum walk boot pre ots |
872 |
772 |
$89K |
| E0114 |
Crutch underarm pair no wood |
649 |
579 |
$26K |
| E0570 |
Nebulizer with compression |
1,134 |
999 |
$23K |
| L4361 |
Pneuma/vac walk boot pre ots |
36 |
24 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
29 |
25 |
$1K |
| A4565 |
Slings |
78 |
76 |
$498.99 |