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GOOD SAMARITAN HOSPITAL ASSOCIATION
GOOD SAMARITAN HOSPITAL ASSOCIATION
NPI: 1578734869
· RUGBY, ND 58368
· 261QR1300X
$366K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,324 |
$140K |
| 2019 |
489 |
$54K |
| 2020 |
454 |
$51K |
| 2021 |
496 |
$53K |
| 2022 |
138 |
$16K |
| 2023 |
210 |
$29K |
| 2024 |
163 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
2,705 |
2,373 |
$306K |
| 99212 |
|
300 |
270 |
$32K |
| 99214 |
|
238 |
227 |
$25K |
| 90471 |
|
14 |
14 |
$2K |
| 99308 |
|
17 |
13 |
$928.82 |