GOOD SAMARITAN REGIONAL HEALTH CENTER
NPI: 1609897339
· MOUNT VERNON, IL 62864
· Psychiatric Hospital Unit
$554K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,478 |
$98K |
| 2019 |
9,738 |
$274K |
| 2020 |
10,197 |
$182K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
5,174 |
690 |
$426K |
| 92507 |
|
643 |
154 |
$27K |
| 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 |
276 |
150 |
$26K |
| 97161 |
|
170 |
99 |
$22K |
| 84443 |
|
1,528 |
1,083 |
$11K |
| 80053 |
|
2,635 |
1,745 |
$9K |
| 77067 |
|
149 |
102 |
$8K |
| 85025 |
|
2,816 |
1,827 |
$4K |
| 93005 |
|
345 |
262 |
$4K |
| 80061 |
|
1,312 |
943 |
$2K |
| 82306 |
|
857 |
560 |
$2K |
| 83036 |
|
949 |
675 |
$2K |
| 71046 |
|
191 |
122 |
$1K |
| 96372 |
|
149 |
66 |
$1K |
| 85610 |
|
698 |
328 |
$1K |
| 87086 |
|
199 |
115 |
$721.52 |
| 80048 |
|
248 |
155 |
$683.30 |
| 82607 |
|
257 |
162 |
$616.01 |
| 77063 |
|
133 |
88 |
$565.24 |
| 90686 |
|
48 |
13 |
$554.98 |
| 83970 |
|
32 |
14 |
$498.16 |
| 72110 |
|
20 |
12 |
$377.74 |
| 84439 |
|
249 |
134 |
$287.90 |
| 36415 |
|
1,510 |
1,117 |
$287.62 |
| 84466 |
|
129 |
79 |
$249.45 |
| 82746 |
|
93 |
59 |
$199.62 |
| 86850 |
|
149 |
103 |
$187.49 |
| 83540 |
|
182 |
108 |
$158.60 |
| 83735 |
|
171 |
77 |
$152.87 |
| 86901 |
|
153 |
105 |
$121.36 |
| 82728 |
|
82 |
55 |
$113.96 |
| 82570 |
|
179 |
93 |
$109.13 |
| 87635 |
|
28 |
26 |
$102.82 |
| 86038 |
|
23 |
12 |
$93.59 |
| 86900 |
|
153 |
105 |
$84.85 |
| 81003 |
|
137 |
74 |
$78.69 |
| 81001 |
|
111 |
71 |
$68.29 |
| 82043 |
|
100 |
63 |
$49.13 |
| 84100 |
|
84 |
37 |
$37.09 |
| 85652 |
|
51 |
29 |
$17.03 |