Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GOOD SAMARITAN MENTAL HEALTH ASSOCIATION LLC

NPI: 1154536704 · PORTLAND, IN 47371 · Psychiatry Physician · NPI assigned 05/14/2007

$6K
Total Medicaid Paid
188
Total Claims
89
Beneficiaries
4
Codes Billed
2018-04
First Month
2019-09
Last Month

Provider Details

Authorized OfficialISHAK, SAMIR (OWNER)
NPI Enumeration Date05/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $5K
2019 36 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 94 38 $3K
90792 Psychiatric diagnostic evaluation with medical services 27 26 $2K
90870 24 12 $885.08
99231 Subsequent hospital care, per day, straightforward or low complexity 43 13 $327.29