Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL CORVALLIS

NPI: 1578251146 · CORVALLIS, OR 97330 · Family Medicine Physician · NPI assigned 05/01/2023

$112K
Total Medicaid Paid
1,459
Total Claims
1,394
Beneficiaries
9
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHENNUM, LAURA (CEO-GSRMC)
NPI Enumeration Date05/01/2023

Related Entities

Other providers sharing the same authorized official: HENNUM, LAURA

ProviderCityStateTotal Paid
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $50K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $46K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $40K
GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 310 $30K
2024 1,149 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 663 634 $75K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192 181 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 87 $14K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 293 276 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76 73 $2K
96127 88 87 $792.82
90656 30 29 $596.86
90686 15 15 $258.34
90472 Immunization administration, each additional vaccine (list separately) 13 12 $196.25