THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1255321816
· INDIANOLA, IA 50125
· 332BN1400X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
251 |
$53.30 |
| 2021 |
19 |
$2.22 |
| 2022 |
1,868 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |