Medicaid Provider Spending

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

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI: 1255321816 · INDIANOLA, IA 50125 · 332BN1400X

$12K
Total Medicaid Paid
2,138
Total Claims
391
Beneficiaries
5
Codes Billed
2020-05
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 251 $53.30
2021 19 $2.22
2022 1,868 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 910 98 $8K
97530 763 97 $3K
97112 163 41 $772.81
Q3014 Telehealth facility fee 239 119 $55.52
36415 63 36 $0.00