Medicaid Provider Spending

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

GOTHENBURG MEMORIAL HOSPITAL

NPI: 1477953305 · GOTHENBURG, NE 69138 · Rural Health Clinic/Center · NPI assigned 08/28/2014

$1.70M
Total Medicaid Paid
14,632
Total Claims
12,350
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNUST, ANDREW (CEO)
Parent OrganizationGOTHENBURG MEMORIAL HOSPITAL
NPI Enumeration Date08/28/2014

Related Entities

Other providers sharing the same authorized official: KNUST, ANDREW

ProviderCityStateTotal Paid
GOTHENBURG MEMORIAL HOSPITAL GOTHENBURG NE $1.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,177 $232K
2019 2,356 $237K
2020 1,696 $180K
2021 2,255 $253K
2022 2,346 $286K
2023 2,285 $298K
2024 1,517 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,710 9,044 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,369 2,782 $450K
99308 Subsequent nursing facility care, per day, straightforward 255 244 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70 69 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 79 $4K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 128 120 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 12 12 $129.20