Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL CA LTD PTP

NPI: 1073103057 · WASCO, CA 93280 · Rural Health Clinic/Center · NPI assigned 01/22/2021

$10.08M
Total Medicaid Paid
91,397
Total Claims
27,689
Beneficiaries
29
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALBROOK, GERRIE (CFO)
Parent OrganizationGOOD SAMARITAN HOSPITAL CA LTD PTP
NPI Enumeration Date01/22/2021

Related Entities

Other providers sharing the same authorized official: HALBROOK, GERRIE

ProviderCityStateTotal Paid
GOOD SAMARITAN HOSPITAL CA LTD PTP ARVIN CA $1.01M
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $387K
GOOD SAM HEALING CENTER BAKERSFIELD CA $270K
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $72K
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 301 $7K
2022 5,331 $401K
2023 19,634 $2.01M
2024 66,131 $7.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 32,163 11,284 $7.60M
99309 Subsequent nursing facility care, per day, low to moderate complexity 39,163 6,581 $1.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,504 4,939 $214K
99308 Subsequent nursing facility care, per day, straightforward 4,337 605 $173K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,117 667 $63K
99305 926 543 $61K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 320 275 $54K
90792 Psychiatric diagnostic evaluation with medical services 212 212 $42K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 209 143 $15K
99310 Prolong nursin fac eval 15m 324 215 $13K
99306 Prolong nursin fac eval 15m 98 60 $11K
99307 364 105 $10K
99304 352 225 $9K
59425 64 43 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 458 333 $7K
99350 Prolong home eval add 15m 52 48 $6K
99345 Prolong home eval add 15m 78 64 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 149 102 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 48 27 $3K
90740 19 18 $3K
90658 68 68 $2K
82947 370 242 $879.27
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 141 128 $816.05
81003 202 176 $276.75
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35 32 $171.60
99348 37 30 $68.22
82948 18 16 $39.11
99421 399 359 $0.00
99422 170 149 $0.00