Medicaid Provider Spending

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

GOOD SAMARITAN LLC

NPI: 1528607512 · LAS VEGAS, NV 89109 · Internal Medicine Physician · NPI assigned 12/23/2019

$326K
Total Medicaid Paid
5,138
Total Claims
4,511
Beneficiaries
17
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJANG, SHAUN (OWNER)
NPI Enumeration Date12/23/2019

Related Entities

Other providers sharing the same authorized official: JANG, SHAUN

ProviderCityStateTotal Paid
PEACE OF MIND HEALTH CARE SOLUTIONS LAS VEGAS NV $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 22 $16.44
2021 260 $7K
2022 914 $63K
2023 2,211 $148K
2024 1,731 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,489 2,135 $145K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,734 1,531 $137K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 149 145 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 200 188 $18K
99215 Prolong outpt/office vis 16 13 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 51 $1K
99401 12 12 $420.78
96127 80 79 $357.46
G0444 Annual depression screening, 5 to 15 minutes 64 59 $262.93
36415 Collection of venous blood by venipuncture 104 81 $149.44
99497 19 13 $33.34
3077F 30 28 $0.00
1159F 93 92 $0.00
3080F 30 29 $0.00
99000 35 27 $0.00