Nursing facility
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society was paid $220.58 by Medicaid between May 2020 and May 2020, across 1 billing code. Its largest line is Q3014, Telehealth originating site facility fee — 100% of everything it billed.
33Billing provider infoTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
MANDAN, ND 58554
MANDAN, ND 58554
33aNPI1487759593assigned 09/13/2006
33bProvider typeSkilled Nursing Facility
28Total paid$220.58
24GClaims34
24DCodes billed1
24AFirst – last monthMay 2020 – May 2020
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 | |
|---|---|---|---|
| 2020 | 34 | $220.58 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 100% | 34 | 25 | $220.58 |
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 officialVANDEN HULL, ERIC (VICE PRESIDENT)
Parent organizationTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
| Provider | Location | Paid |
|---|---|---|
| Good Samaritan Society Hcbs-Tx, LLC | Ft Worth, TX | $22K |
| The Evangelical Lutheran Good Samaritan Society | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.