MACON COUNTY SAMARITAN HOSPITAL
NPI: 1548215106
· MACON, MO 63552
· 341600000X
$1.38M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,091 |
$275K |
| 2019 |
1,895 |
$128K |
| 2020 |
3,029 |
$129K |
| 2021 |
5,107 |
$202K |
| 2022 |
5,568 |
$247K |
| 2023 |
5,287 |
$240K |
| 2024 |
3,859 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| X4003 |
|
1,292 |
1,144 |
$342K |
| 99283 |
|
3,433 |
2,512 |
$202K |
| 62323 |
|
1,110 |
485 |
$145K |
| G0463 |
Hospital outpt clinic visit |
1,869 |
1,529 |
$131K |
| 99213 |
|
5,968 |
4,334 |
$123K |
| Y7506 |
|
773 |
600 |
$116K |
| 99282 |
|
2,270 |
1,645 |
$105K |
| J3490 |
Drugs unclassified injection |
716 |
599 |
$53K |
| A0425 |
Ground mileage |
1,376 |
1,071 |
$32K |
| 99211 |
|
3,129 |
2,480 |
$28K |
| 99284 |
|
199 |
171 |
$20K |
| 80053 |
|
1,120 |
1,002 |
$12K |
| A0429 |
Bls-emergency |
231 |
191 |
$11K |
| A0427 |
Als1-emergency |
182 |
148 |
$11K |
| X4011 |
|
58 |
52 |
$10K |
| 85025 |
|
1,217 |
1,083 |
$9K |
| 88305 |
|
223 |
201 |
$7K |
| 0002A |
|
134 |
89 |
$4K |
| 0001A |
|
119 |
76 |
$3K |
| 96372 |
|
81 |
71 |
$3K |
| 36415 |
|
448 |
386 |
$3K |
| 72148 |
|
20 |
13 |
$2K |
| 80305 |
|
234 |
200 |
$2K |
| 99214 |
|
25 |
25 |
$2K |
| 99212 |
|
113 |
89 |
$1K |
| 99152 |
|
85 |
64 |
$933.89 |
| 96361 |
|
15 |
14 |
$743.21 |
| 87428 |
|
30 |
28 |
$566.84 |
| 99203 |
|
21 |
18 |
$410.71 |
| 99202 |
|
13 |
13 |
$393.25 |
| 93005 |
|
18 |
12 |
$381.44 |
| 99281 |
|
25 |
23 |
$377.49 |
| 87804 |
|
19 |
15 |
$358.21 |
| U0003 |
Cov-19 amp prb hgh thruput |
19 |
17 |
$300.00 |
| 71045 |
|
33 |
15 |
$251.25 |
| J1100 |
Dexamethasone sodium phos |
138 |
126 |
$242.88 |
| 83605 |
|
43 |
37 |
$196.27 |
| 87880 |
|
12 |
12 |
$153.46 |
| 81001 |
|
25 |
24 |
$40.58 |