Medicaid Provider Spending

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

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI: 1134119563 · JACKSON, MN 56143 · Nursing Facility Supplies (DME) · NPI assigned 10/26/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NYLANDER, RAYE NAE controls 20+ related entities in our dataset. Read more

$16K
Total Medicaid Paid
244
Total Claims
235
Beneficiaries
4
Codes Billed
2019-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNYLANDER, RAYE NAE (CFO)
Parent OrganizationTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI Enumeration Date10/26/2005

Related Entities

Other providers sharing the same authorized official: NYLANDER, RAYE NAE

ProviderCityStateTotal Paid
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY PRESCOTT AZ $231K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY SILVERTON ID $113K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY GRANTS NM $40K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY SOCORRO NM $28K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OTTUMWA IA $26K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY AZTEC NM $11K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY PIPESTONE MN $10K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY SAINT PAUL MN $10K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY WESTBROOK MN $7K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY MOUNTAIN LAKE MN $3K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY LOVELAND CO $3K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY STILLWATER MN $2K
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY LAS CRUCES NM $764.21
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY BRAINERD MN $394.35
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY DAVENPORT IA $21.32
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY WEST UNION IA $12.52
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY KISSIMMEE FL $0.00
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY WAMEGO KS $0.00
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY PARSONS KS $0.00
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ELLIS KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $3K
2020 64 $3K
2021 55 $2K
2022 26 $3K
2023 41 $3K
2024 30 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 78 77 $12K
G0008 Administration of influenza virus vaccine 108 106 $2K
90686 26 25 $1K
Q3014 Telehealth originating site facility fee 32 27 $734.50