Good Shepherd Health Care System

Good Shepherd Health Care System was paid $4.45M by Medicaid between Jan 2018 and Nov 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

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
2018	12,107	$722K
2019	15,519	$887K
2020	11,556	$641K
2021	14,419	$783K
2022	15,831	$660K
2023	11,602	$421K
2024incomplete	9,914	$336K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	27,560	25,476	$1.67M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	24%	15,884	13,960	$1.06M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.8%	5,452	4,889	$435K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	3,537	3,490	$245K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	5.5%	2,801	2,773	$244K
98942		5.0%	5,557	2,980	$225K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.8%	1,273	1,235	$82K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,371	1,299	$57K
90670		1.0%	3,180	3,125	$46K
90686		<1%	2,767	2,735	$40K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	3,909	3,808	$36K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	292	267	$32K

56 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	457	$30K
98941	Chiropractic manipulative treatment; spinal, 3-4 regions	<1%	917	$30K
90723		<1%	2,024	$29K
90680		<1%	1,964	$28K
90647		<1%	1,874	$27K
98943		<1%	707	$13K
92551		<1%	1,874	$12K
99204	Doctor's office visit, new patient (more involved)	<1%	90	$12K
99441		<1%	649	$11K
90633		<1%	633	$9K
99239	Hospital discharge day management, more than 30 minutes	<1%	51	$5K
99205	Prolong outpt/office vis	<1%	33	$5K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	28	$5K
99460		<1%	41	$5K
90677		<1%	300	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	32	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	59	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	191	$4K
90685		<1%	257	$3K
99381		<1%	16	$3K
90656		<1%	215	$3K
96127		<1%	662	$3K
99173		<1%	1,800	$3K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	26	$3K
90697		<1%	182	$3K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	202	$2K
90671		<1%	165	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	179	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	27	$2K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	27	$2K
90698		<1%	102	$1K
90710		<1%	88	$1K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	40	$1K
59025	Fetal non-stress test	<1%	30	$983.56
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	47	$555.63
99442		<1%	15	$542.40
90651		<1%	38	$516.46
90381		<1%	30	$440.51
99459		<1%	26	$438.46
96160		<1%	110	$413.34
90716		<1%	26	$364.56
36415	Collection of venous blood by venipuncture	<1%	126	$324.60
90715		<1%	15	$323.40
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	29	$297.73
90734		<1%	14	$212.66
73630		<1%	28	$192.68
90707		<1%	14	$182.28
90380		<1%	12	$167.09
81025		<1%	15	$130.57
80053	Comprehensive metabolic panel	<1%	13	$106.86
51798		<1%	12	$99.48
83655		<1%	276	$84.80
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	13	$55.80
87086	Culture, bacterial; quantitative colony count, urine	<1%	12	$43.96
85018		<1%	284	$13.28
36416		0%	268	$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 officialPETER, JAN (CHIEF FINANCIAL OFFICER)

Parent organizationGOOD SHEPHERD HEALTH CARE SYSTEM