Medicaid Provider Spending

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

ST LUKES HEALTH RESOURCES

NPI: 1528001492 · SIOUX CITY, IA 51104 · Internal Medicine Physician · NPI assigned 06/14/2006

$48K
Total Medicaid Paid
523
Total Claims
483
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialGOBELL, JAMES (VICE PRESIDENT)
Parent OrganizationST LUKES HEALTH SYSTEM, INC
NPI Enumeration Date06/14/2006

Related Entities

Other providers sharing the same authorized official: GOBELL, JAMES

ProviderCityStateTotal Paid
NORTHWEST IOWA HOSPITAL CORPORATION SIOUX CITY IA $7.87M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 523 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 76 76 $15K
99215 Prolong outpt/office vis 159 145 $13K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 182 164 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 39 38 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 33 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 34 27 $2K