Good Samaritan Mental Health Association LLC

Good Samaritan Mental Health Association LLC was paid $6K by Medicaid between Apr 2018 and Sep 2019, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoGOOD SAMARITAN MENTAL HEALTH ASSOCIATION LLC
PORTLAND, IN 47371

33aNPI1154536704assigned 05/14/2007

33bProvider typePsychiatry Physician

28Total paid$6K

24GClaims188

24DCodes billed4

24AFirst – last monthApr 2018 – Sep 2019

Compared with peers

Next to other Psychiatry Physician providers in Indiana

Rank by total paid#55 of 68

Median peer was paid$115K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	152	$5K
2019	36	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	47%	94	38	$3K
90792	Psychiatric diagnostic evaluation with medical services	32%	27	26	$2K
90870		15%	24	12	$885.08
99231	Subsequent hospital care, per day, straightforward or low complexity	5.7%	43	13	$327.29

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialISHAK, SAMIR (OWNER)