Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Macon County Samaritan Hospital

Macon County Samaritan Hospital was paid $1.38M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is X4003, — 25% of everything it billed.

33Billing provider infoMACON COUNTY SAMARITAN HOSPITAL
MACON, MO 63552
33aNPI1548215106assigned 05/23/2006
33bProvider typeAmbulance
28Total paid$1.38M
24GClaims26,836
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulance providers in Missouri

Rank by total paid#16 of 54
Median peer was paid$537K
This provider vs. median2.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,091$275K
20191,895$128K
20203,029$129K
20215,107$202K
20225,568$247K
20235,287$240K
2024incomplete3,859$160K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
X4003 25% 1,292 1,144 $342K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 3,433 2,512 $202K
62323 10% 1,110 485 $145K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9.5% 1,869 1,529 $131K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 5,968 4,334 $123K
Y7506 8.4% 773 600 $116K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.6% 2,270 1,645 $105K
J3490 Unclassified drugs 3.8% 716 599 $53K
A0425 Ground mileage, per statute mile 2.3% 1,376 1,071 $32K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.0% 3,129 2,480 $28K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.4% 199 171 $20K
80053 Comprehensive metabolic panel <1% 1,120 1,002 $12K
27 more codes
A0429 Emergency ambulance ride, basic life support <1% 231 $11K
A0427 Emergency ambulance ride, advanced life support <1% 182 $11K
X4011 State-specific procedure code <1% 58 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,217 $9K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 223 $7K
0002A <1% 134 $4K
0001A <1% 119 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 81 $3K
36415 Collection of venous blood by venipuncture <1% 448 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 20 $2K
80305 <1% 234 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 25 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 113 $1K
99152 <1% 85 $933.89
96361 Intravenous infusion, hydration; each additional hour <1% 15 $743.21
87428 <1% 30 $566.84
99203 Doctor's office visit, new patient (routine) <1% 21 $410.71
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $393.25
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 18 $381.44
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 25 $377.49
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 19 $358.21
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 19 $300.00
71045 Radiologic examination, chest; single view <1% 33 $251.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 138 $242.88
83605 <1% 43 $196.27
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $153.46
81001 <1% 25 $40.58

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 officialWILLIAMS, JILL (CEO)