GOOD SAMARITAN FAMILY PRACTICE
NPI: 1366802159
· LAS VEGAS, NV 89141
· 363LF0000X
$216K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
437 |
$4K |
| 2019 |
2,961 |
$33K |
| 2020 |
6,075 |
$81K |
| 2021 |
4,390 |
$85K |
| 2022 |
1,892 |
$12K |
| 2023 |
1,394 |
$1K |
| 2024 |
85 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,780 |
2,451 |
$51K |
| 99214 |
|
2,093 |
1,601 |
$45K |
| G0181 |
Home health care supervision |
2,452 |
2,399 |
$45K |
| 99091 |
|
1,740 |
1,698 |
$17K |
| 99344 |
|
303 |
294 |
$12K |
| G0179 |
Md recertification hha pt |
1,060 |
1,023 |
$10K |
| 99213 |
|
702 |
579 |
$9K |
| G0180 |
Md certification hha patient |
610 |
600 |
$6K |
| 99497 |
|
351 |
336 |
$4K |
| 99496 |
|
129 |
121 |
$4K |
| 99336 |
|
59 |
57 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
149 |
140 |
$2K |
| 99487 |
Ccm add 20min |
69 |
68 |
$1K |
| 99490 |
Ccm add 20min |
965 |
935 |
$1K |
| 99335 |
|
49 |
44 |
$1K |
| 99204 |
|
47 |
47 |
$967.10 |
| G0439 |
Ppps, subseq visit |
118 |
116 |
$728.37 |
| 99454 |
|
67 |
61 |
$663.20 |
| 99489 |
Ccm add 20min |
69 |
68 |
$657.72 |
| 99212 |
|
70 |
62 |
$636.57 |
| 99457 |
|
69 |
63 |
$614.09 |
| 99439 |
|
888 |
862 |
$585.83 |
| 99458 |
|
79 |
61 |
$398.79 |
| 99343 |
|
15 |
15 |
$330.89 |
| 99354 |
|
15 |
15 |
$293.15 |
| 99453 |
|
31 |
31 |
$60.80 |
| 99348 |
|
126 |
111 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
1,452 |
1,333 |
$0.00 |
| G9458 |
Tob user recd cess interv |
209 |
192 |
$0.00 |
| G9621 |
Scr unheal etoh w/counsel |
247 |
223 |
$0.00 |
| G0438 |
Ppps, initial visit |
12 |
12 |
$0.00 |
| 1111F |
|
113 |
109 |
$0.00 |
| G9459 |
Tob non-user |
31 |
29 |
$0.00 |
| 1123F |
|
30 |
30 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
23 |
15 |
$0.00 |
| 99406 |
|
12 |
12 |
$0.00 |