Medicaid Provider Spending

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

LUTHERAN CHARITY ASSOCIATION

NPI: 1548256753 · JAMESTOWN, ND 58401 · Critical Access Hospital · NPI assigned 09/22/2005

$3.97M
Total Medicaid Paid
40,220
Total Claims
34,974
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDELFS, MICHAEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/22/2005

Related Entities

Other providers sharing the same authorized official: DELFS, MICHAEL

ProviderCityStateTotal Paid
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $523K
MOOSE LAKE COMMUNITY HOSPITAL DISTRICT MOOSE LAKE MN $419K
MOOSE LAKE COMMUNITY HOSPITAL DISTRICT MOOSE LAKE MN $40K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $25K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $22K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,407 $522K
2019 4,754 $450K
2020 4,176 $401K
2021 6,534 $637K
2022 6,232 $651K
2023 6,907 $818K
2024 4,210 $494K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,568 8,941 $2.52M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,128 5,285 $803K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,387 1,175 $211K
80053 Comprehensive metabolic panel 5,389 4,873 $95K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,246 5,625 $72K
96375 Therapeutic injection; each additional sequential IV push 416 351 $37K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 201 189 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 522 429 $31K
G0378 Hospital observation service, per hour 41 39 $31K
96361 Intravenous infusion, hydration; each additional hour 215 130 $21K
86140 1,671 1,524 $15K
36415 Collection of venous blood by venipuncture 4,137 3,691 $14K
99284 Emergency department visit for the evaluation and management, high severity 73 58 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 322 282 $12K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 134 115 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 216 157 $8K
71045 Radiologic examination, chest; single view 168 141 $8K
70450 Computed tomography, head or brain; without contrast material 33 25 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 39 38 $5K
J2704 Injection, propofol, 10 mg 291 269 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 281 246 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 32 28 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 242 196 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 187 145 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 27 27 $2K
87631 15 15 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 26 24 $2K
J3490 Unclassified drugs 163 66 $2K
J7030 Infusion, normal saline solution , 1000 cc 66 61 $2K
84484 137 105 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 86 76 $954.15
87070 88 84 $791.72
88305 Level IV - Surgical pathology, gross and microscopic examination 21 15 $784.21
81001 299 236 $780.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg 63 57 $740.36
J7120 Ringers lactate infusion, up to 1000 cc 27 24 $734.40
71046 Radiologic examination, chest; 2 views 20 15 $644.16
84703 13 12 $639.08
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 38 30 $422.31
J1170 Injection, hydromorphone, up to 4 mg 58 50 $357.11
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 26 $322.20
85379 13 13 $309.06
J2270 Injection, morphine sulfate, up to 10 mg 15 14 $123.65
81003 50 47 $108.68
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $97.41
80048 Basic metabolic panel (calcium, ionized) 16 13 $53.95