Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL CORVALLIS

NPI: 1184317356 · CORVALLIS, OR 97330 · Family Medicine Physician · NPI assigned 06/01/2023

$50K
Total Medicaid Paid
750
Total Claims
689
Beneficiaries
7
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHENNUM, LAURA (CEO - GSRMC)
NPI Enumeration Date06/01/2023

Related Entities

Other providers sharing the same authorized official: HENNUM, LAURA

ProviderCityStateTotal Paid
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $112K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $46K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $40K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 61 $5K
2024 689 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 213 204 $25K
99215 Prolong outpt/office vis 70 62 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75 70 $6K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 258 232 $5K
90832 Psychotherapy, 30 minutes with patient 21 14 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 13 $1K
96127 97 94 $867.68