Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Good Samaritan Hospital of Lebanon, Pennsylvania

The Good Samaritan Hospital of Lebanon, Pennsylvania was paid $53K by Medicaid between Feb 2021 and Dec 2024, across 26 billing codes. Its largest line is 64493, — 35% of everything it billed.

33Billing provider infoTHE GOOD SAMARITAN HOSPITAL OF LEBANON, PENNSYLVANIA
LEBANON, PA 17042
33aNPI1205902343assigned 11/28/2006
33bProvider typeClinic/Center
28Total paid$53K
24GClaims13,950
24DCodes billed26
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Pennsylvania

Rank by total paid#124 of 176
Median peer was paid$441K
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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20212,469$47K
20222,750$0.00
20234,144$0.00
2024incomplete4,587$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
64493 35% 20 12 $18K
62323 28% 24 24 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21% 74 67 $11K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14% 27 19 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.3% 142 126 $694.06
J2704 Injection, propofol, 10 mg <1% 2,539 2,338 $163.77
J7120 Ringers lactate infusion, up to 1000 cc <1% 335 321 $41.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 33 25 $12.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 112 80 $11.04
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,881 1,716 $10.02
82947 <1% 51 43 $7.28
J0690 Injection, cefazolin sodium, 500 mg <1% 998 885 $4.88
14 more codes
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,644 $2.48
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,679 $1.79
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,952 $1.44
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 187 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 71 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 116 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 15 $0.00
81025 0% 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 24 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 943 $0.00
J3490 Unclassified drugs 0% 524 $0.00
J1170 Injection, hydromorphone, up to 4 mg 0% 480 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 12 $0.00
J7999 Compounded drug, not otherwise classified 0% 55 $0.00

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 officialCITRO, TINA (VP & PRESIDENT)
Parent organizationTHE GOOD SAMARITAN HOSPITAL
Same official

Other billing entities under CITRO, TINA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.