GOOD SAMARITAN HOSPITAL
NPI: 1366105561
· VINCENNES, IN 47591
· Rural Health Clinic/Center
· NPI assigned 10/15/2021
$949.56
Total Medicaid Paid
Provider Details
| Authorized Official | THACKER, ADAM (CEO) |
| Parent Organization | GOOD SAMARITAN HOSPITAL |
| NPI Enumeration Date | 10/15/2021 |
Related Entities
Other providers sharing the same authorized official: THACKER, ADAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
155 |
$949.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$733.84 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
119 |
80 |
$215.72 |
| T1015 |
Clinic visit/encounter, all-inclusive |
20 |
19 |
$0.00 |