Hospital
Good Samaritan Medical Center, LLC
Good Samaritan Medical Center, LLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.
33Billing provider infoGOOD SAMARITAN MEDICAL CENTER, LLC
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
33aNPI1407845035assigned 10/17/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.24M
24GClaims66,614
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Colorado
Rank by total paid#25 of 51
Median peer was paid$1.24M
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 8,422 | $201K | |
| 2019 | 8,172 | $153K | |
| 2020 | 5,255 | $86K | |
| 2021 | 9,951 | $171K | |
| 2022 | 12,267 | $227K | |
| 2023 | 14,256 | $248K | |
| 2024incomplete | 8,291 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 5,337 | 4,594 | $560K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 32% | 4,155 | 3,708 | $399K |
| 80048 | Basic metabolic panel (calcium, ionized) | 7.8% | 7,342 | 6,266 | $98K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.2% | 653 | 513 | $77K |
| J3490 | Unclassified drugs | 3.2% | 17,341 | 8,700 | $40K |
| 80053 | Comprehensive metabolic panel | 2.2% | 2,544 | 2,274 | $27K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 17,994 | 15,332 | $18K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 804 | 773 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 726 | 703 | $5K |
| 80061 | Lipid panel | <1% | 581 | 551 | $3K |
| 84484 | <1% | 213 | 115 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 33 | 27 | $2K |
22 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 2,669 | $2K |
| 80076 | <1% | 81 | $1K | |
| G0472 | Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | <1% | 37 | $839.40 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,369 | $788.18 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 12 | $757.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 306 | $598.79 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | <1% | 53 | $308.11 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 616 | $108.68 |
| 81001 | <1% | 408 | $22.82 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,063 | $21.83 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 599 | $14.37 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,123 | $0.57 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 173 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 38 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 22 | $0.00 |
| 83605 | 0% | 66 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 48 | $0.00 |
| 83690 | 0% | 26 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 70 | $0.00 |
| 84703 | 0% | 70 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 18 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 24 | $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 officialDALFONSO, HILDA (VP FINANCE)
Parent organizationSCL HEALTH
| Provider | Location | Paid |
|---|---|---|
| Hca Healthone LLC | Aurora, CO | $24.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.