Supplier
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society was paid $12K by Medicaid between May 2020 and Dec 2022, across 5 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 69% of everything it billed.
33Billing provider infoTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
INDIANOLA, IA 50125
INDIANOLA, IA 50125
33aNPI1255321816assigned 10/25/2005
33bProvider typeNursing Facility Supplies (DME)
28Total paid$12K
24GClaims2,138
24DCodes billed5
24AFirst – last monthMay 2020 – Dec 2022
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 251 | $53.30 | |
| 2021 | 19 | $2.22 | |
| 2022 | 1,868 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 69% | 910 | 98 | $8K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 24% | 763 | 97 | $3K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 6.3% | 163 | 41 | $772.81 |
| Q3014 | Telehealth originating site facility fee | <1% | 239 | 119 | $55.52 |
| 36415 | Collection of venous blood by venipuncture | 0% | 63 | 36 | $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 officialTURNER, HOLLY (ADMINISTRATOR)
Parent organizationTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY