GOTHENBURG MEMORIAL HOSPITAL
NPI: 1477953305
· GOTHENBURG, NE 69138
· 261QR1300X
$1.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
10,710 |
9,044 |
$1.23M |
| 99214 |
|
3,369 |
2,782 |
$450K |
| 99308 |
|
255 |
244 |
$8K |
| 99212 |
|
70 |
69 |
$6K |
| 96372 |
|
88 |
79 |
$4K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
128 |
120 |
$4K |
| G2025 |
Dis site tele svcs rhc/fqhc |
12 |
12 |
$129.20 |