Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › KEARNEY › GOOD SAMARITAN HOSPITAL

GOOD SAMARITAN HOSPITAL

NPI: 1336184019 · KEARNEY, NE 68847 · 261QA1903X

$9.76M
Total Medicaid Paid
255,821
Total Claims
197,053
Beneficiaries
184
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,893 $1.48M
2019 29,493 $1.24M
2020 26,420 $1.18M
2021 65,919 $2.28M
2022 69,762 $2.06M
2023 30,561 $1.07M
2024 8,773 $456K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 1,037 994 $1.73M
99283 9,741 8,800 $1.48M
99284 7,047 6,225 $1.16M
99285 2,750 2,328 $487K
96361 1,670 1,249 $476K
70450 1,404 1,245 $362K
74177 1,214 1,048 $360K
0202U 1,039 996 $291K
G0378 Hospital observation per hr 1,524 1,262 $262K
43239 341 274 $251K
96365 2,020 1,216 $227K
0241U 2,015 1,798 $217K
96366 990 465 $212K
U0004 Cov-19 test non-cdc hgh thru 2,056 1,942 $161K
A0427 Als1-emergency 1,249 1,072 $156K
A0425 Ground mileage 4,394 3,422 $155K
99282 1,379 1,282 $119K
A0429 Bls-emergency 1,449 1,205 $99K
93306 180 165 $85K
71275 254 221 $82K
94640 557 477 $69K
80053 13,359 11,264 $68K
96374 4,897 4,171 $62K
85025 15,808 13,084 $60K
71046 1,509 1,419 $54K
96360 238 211 $50K
96372 3,117 2,071 $48K
J3490 Drugs unclassified injection 16,999 6,303 $44K
87633 84 80 $39K
93005 3,633 2,901 $37K
74176 125 118 $34K
96375 3,472 2,645 $32K
U0005 Infec agen detec ampli probe 1,382 1,322 $30K
80050 3,109 2,592 $30K
84443 3,377 3,118 $29K
87801 685 602 $27K
82306 866 820 $26K
83036 2,450 2,296 $23K
87798 299 291 $23K
83880 1,782 1,556 $20K
88305 937 859 $20K
87631 119 117 $19K
J7030 Normal saline solution infus 6,438 4,881 $19K
86140 5,042 4,448 $19K
80307 1,133 946 $18K
84702 1,729 1,389 $18K
84439 1,451 1,377 $18K
76700 68 65 $17K
80061 2,847 2,657 $16K
80048 2,648 2,214 $15K
87635 333 308 $15K
J7040 Normal saline solution infus 1,236 1,058 $15K
87086 2,695 2,417 $15K
84145 2,347 2,051 $15K
36415 9,840 7,766 $14K
45380 30 24 $14K
94664 417 384 $14K
99211 286 159 $13K
71045 2,375 2,034 $13K
87077 1,717 1,575 $11K
J2405 Ondansetron hcl injection 4,002 3,240 $10K
87581 274 266 $9K
86803 758 713 $9K
83605 5,287 4,489 $7K
87040 1,529 1,200 $7K
80069 1,264 1,078 $7K
87491 167 163 $7K
J7050 Normal saline solution infus 1,903 996 $6K
84484 3,704 2,536 $6K
93017 16 14 $6K
77063 99 98 $6K
81001 4,911 4,282 $6K
83735 2,899 2,213 $6K
85027 1,581 1,347 $6K
87591 143 139 $6K
88175 208 188 $5K
87070 620 583 $5K
87081 521 510 $5K
85610 3,864 3,156 $5K
12001 14 13 $5K
J1100 Dexamethasone sodium phos 2,521 2,177 $5K
J1885 Ketorolac tromethamine inj 2,865 2,420 $5K
86710 393 390 $5K
83690 2,746 2,300 $5K
M0245 Bamlan and etesev infusion 12 12 $5K
93971 24 24 $4K
87480 485 423 $4K
96376 1,180 608 $4K
87400 327 324 $4K
71260 27 25 $4K
85730 2,270 1,898 $3K
87205 734 669 $3K
82553 454 384 $3K
0099U 27 25 $3K
87186 829 762 $3K
J3010 Fentanyl citrate injection 3,266 2,480 $3K
85652 1,158 1,041 $3K
87430 198 195 $3K
82962 2,696 1,122 $3K
82550 669 559 $3K
72148 15 14 $3K
77067 198 197 $3K
J8499 Oral prescrip drug non chemo 8,770 2,192 $3K
87660 485 423 $3K
86850 185 160 $3K
74018 99 89 $2K
82803 901 792 $2K
0097U 14 14 $2K
86900 270 230 $2K
97597 25 12 $2K
97165 37 26 $2K
82728 289 268 $2K
87510 485 423 $2K
71250 27 25 $2K
97161 111 86 $2K
87807 134 134 $2K
82150 302 269 $2K
84703 232 226 $2K
A0428 Bls 35 29 $2K
83550 203 193 $1K
72125 182 157 $1K
83540 235 225 $1K
85379 1,023 883 $1K
82570 287 257 $1K
80081 13 13 $1K
S0119 Ondansetron 4 mg 14 13 $957.86
J1644 Inj heparin sodium per 1000u 833 320 $849.86
87634 12 12 $655.12
84100 398 308 $636.60
81003 919 826 $573.02
90471 45 39 $520.74
87389 39 36 $412.51
90715 16 14 $397.40
84156 179 157 $396.58
97530 222 49 $389.48
84146 39 37 $360.78
97116 39 12 $357.21
A9270 Non-covered item or service 2,424 408 $350.30
J7120 Ringers lactate infusion 2,759 1,846 $330.86
97110 43 14 $308.02
J2250 Inj midazolam hydrochloride 850 695 $299.35
J0696 Ceftriaxone sodium injection 684 503 $291.25
82607 21 19 $281.80
87651 147 145 $267.16
J0690 Cefazolin sodium injection 285 160 $266.63
U0002 Covid-19 lab test non-cdc 17 16 $206.27
85018 33 26 $201.14
87147 41 39 $200.26
87502 14 14 $195.44
80164 27 24 $181.80
86901 279 241 $169.20
J1200 Diphenhydramine hcl injectio 480 400 $156.81
J2704 Inj, propofol, 10 mg 2,340 1,936 $145.69
J2270 Morphine sulfate injection 540 363 $129.24
82784 12 12 $93.48
82248 15 12 $87.60
99152 69 57 $86.69
82077 673 531 $83.95
81025 1,096 945 $78.81
80143 271 229 $55.49
85007 17 15 $51.29
84550 13 12 $44.48
86364 13 13 $42.25
80179 267 224 $28.11
J0330 Succinycholine chloride inj 119 91 $16.60
A4649 Surgical supplies 62 51 $15.75
82800 408 358 $11.00
J2370 Phenylephrine hcl injection 27 24 $10.76
99153 Mod sedat endo service >5yrs 17 14 $9.64
81015 55 48 $7.60
94760 181 112 $3.80
Q9967 Locm 300-399mg/ml iodine,1ml 1,557 1,322 $0.00
J2930 Methylprednisolone injection 104 90 $0.00
C1894 Intro/sheath, non-laser 30 24 $0.00
J0780 Prochlorperazine injection 115 101 $0.00
A9577 Inj multihance 28 28 $0.00
C1769 Guide wire 112 97 $0.00
J2060 Lorazepam injection 147 107 $0.00
J1170 Hydromorphone injection 205 122 $0.00
D1206 12 12 $0.00
94761 20 13 $0.00
84436 17 12 $0.00
C1889 Implant/insert device, noc 16 14 $0.00
D0272 13 13 $0.00