Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD SAMARITAN HOSPITAL ASSOCIATION

NPI: 1437258969 · RUGBY, ND 58368 · General Acute Care Hospital · NPI assigned 09/21/2006

$376K
Total Medicaid Paid
7,052
Total Claims
5,409
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHRISTENSON, ERIK (CEO)
NPI Enumeration Date09/21/2006

Related Entities

Other providers sharing the same authorized official: CHRISTENSON, ERIK

ProviderCityStateTotal Paid
GOOD SAMARITAN HOSPITAL ASSOCIATION DUNSEITH ND $1.04M
GOOD SAMARITAN HOSPITAL ASSOCIATION RUGBY ND $366K
GOOD SAMARITAN HOSPITAL ASSOCIATION RUGBY ND $33K
GOOD SAMARITAN HOSPITAL ASSOCIATION MADDOCK ND $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,375 $60K
2019 557 $41K
2020 420 $34K
2021 1,100 $79K
2022 1,175 $62K
2023 1,153 $87K
2024 272 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 932 793 $130K
99283 Emergency department visit for the evaluation and management, moderate severity 490 359 $90K
97530 Therapeutic activities, direct patient contact, each 15 minutes 529 155 $67K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 701 650 $39K
99284 Emergency department visit for the evaluation and management, high severity 36 25 $9K
80305 403 290 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 822 665 $6K
80053 Comprehensive metabolic panel 540 416 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 31 29 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 14 12 $3K
36415 Collection of venous blood by venipuncture 1,175 903 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 96 82 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 191 146 $2K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 60 56 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 12 $850.15
86140 202 140 $806.87
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38 14 $799.18
J2704 Injection, propofol, 10 mg 25 13 $688.90
81002 215 190 $676.95
84703 125 117 $646.16
Q3014 Telehealth originating site facility fee 45 25 $523.12
80048 Basic metabolic panel (calcium, ionized) 77 63 $503.37
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30 28 $408.07
J3490 Unclassified drugs 25 13 $321.58
87807 17 17 $214.06
84443 Thyroid stimulating hormone (TSH) 31 30 $192.96
87086 Culture, bacterial; quantitative colony count, urine 70 65 $174.93
J7120 Ringers lactate infusion, up to 1000 cc 32 27 $162.80
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 12 $106.04
81001 44 38 $60.75
87077 13 12 $30.90
85018 12 12 $15.15