Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI: 1659361061 · ROBBINSDALE, MN 55422 · Nursing Facility Supplies (DME) · NPI assigned 10/26/2005

$7K
Total Medicaid Paid
591
Total Claims
361
Beneficiaries
4
Codes Billed
2018-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialVANDENHULL, ERIC (CFO)
Parent OrganizationTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI Enumeration Date10/26/2005

Related Entities

Other providers sharing the same authorized official: VANDENHULL, ERIC

ProviderCityStateTotal Paid
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ROBBINSDALE MN $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $262.43
2020 514 $5K
2021 25 $539.66
2023 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 497 272 $5K
90662 13 12 $826.68
G0008 Administration of influenza virus vaccine 68 64 $528.69
90756 13 13 $136.74