Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › GRAND RAPIDS › GRAND ITASCA CLINIC AND HOSPITAL

GRAND ITASCA CLINIC AND HOSPITAL

NPI: 1669426631 · GRAND RAPIDS, MN 55744 · Rehabilitation Hospital Unit · NPI assigned 05/22/2006

$25.15M
Total Medicaid Paid
531,251
Total Claims
486,277
Beneficiaries
195
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHRISTENSEN, TODD (VP OF FINANCE)
NPI Enumeration Date05/22/2006

Related Entities

Other providers sharing the same authorized official: CHRISTENSEN, TODD

ProviderCityStateTotal Paid
RANGE REGIONAL HEALTH SERVICES HIBBING MN $23.67M
SUN MOUNTAIN DENTAL CARE LLC WASILLA AK $1.08M
ADVANCED FAMILY DENTAL CARE ANCHORAGE AK $609K
FAIRBANKS FAMILY DENTAL CARE INC FAIRBANKS AK $220K
SONORA ANESTHESIA SERVICES A MEDICAL GROUP INC SONORA CA $712.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81,472 $1.37M
2019 84,369 $4.10M
2020 65,102 $3.07M
2021 89,443 $4.36M
2022 83,061 $4.46M
2023 74,172 $4.28M
2024 53,632 $3.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 116,280 108,169 $9.84M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,689 9,766 $2.90M
99284 Emergency department visit for the evaluation and management, high severity 16,575 14,409 $2.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69,232 62,734 $2.14M
99283 Emergency department visit for the evaluation and management, moderate severity 25,632 22,118 $1.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,415 37,477 $1.81M
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 8,279 7,907 $484K
99215 Prolong outpt/office vis 3,530 3,382 $278K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,152 2,034 $270K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,628 3,532 $236K
36415 Collection of venous blood by venipuncture 45,650 40,839 $231K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,367 10,904 $175K
X5622 2,442 2,407 $160K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,354 3,334 $146K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6,151 5,910 $110K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,879 2,777 $106K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,001 2,801 $83K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,449 6,248 $78K
90834 Psychotherapy, 45 minutes with patient 976 352 $77K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,819 1,808 $76K
99310 Prolong nursin fac eval 15m 1,026 871 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,605 1,563 $65K
96375 Therapeutic injection; each additional sequential IV push 1,283 1,179 $61K
99232 Subsequent hospital care, per day, moderate complexity 1,697 664 $54K
80053 Comprehensive metabolic panel 12,719 11,682 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,082 1,068 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,377 6,259 $50K
71045 Radiologic examination, chest; single view 851 813 $48K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,934 10,024 $47K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,811 2,532 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 477 470 $38K
96361 Intravenous infusion, hydration; each additional hour 505 473 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,193 1,031 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 627 622 $35K
99223 Prolong inpt eval add15 m 357 317 $34K
99239 Hospital discharge day management, more than 30 minutes 661 630 $34K
71046 Radiologic examination, chest; 2 views 575 555 $32K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 485 483 $32K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 117 61 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,368 1,160 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,809 1,733 $28K
99205 Prolong outpt/office vis 227 225 $28K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 835 273 $26K
0002A 847 817 $22K
92551 4,348 4,318 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,994 18,176 $21K
99188 4,301 4,278 $20K
99442 707 652 $19K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 300 106 $18K
0001A 761 696 $18K
90472 Immunization administration, each additional vaccine (list separately) 3,413 3,300 $17K
99308 Subsequent nursing facility care, per day, straightforward 501 437 $15K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 13 $15K
74177 Computed tomography, abdomen and pelvis; with contrast material 52 51 $13K
G0008 Administration of influenza virus vaccine 915 901 $12K
99441 919 870 $12K
90686 3,394 3,292 $11K
80048 Basic metabolic panel (calcium, ionized) 2,794 2,635 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 281 275 $10K
80061 Lipid panel 1,038 1,004 $10K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 8,015 7,948 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,640 1,637 $9K
98940 788 444 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 359 352 $9K
96127 2,821 2,801 $9K
99238 Hospital discharge day management, 30 minutes or less 212 208 $9K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 202 190 $7K
97530 Therapeutic activities, direct patient contact, each 15 minutes 129 39 $6K
99335 146 120 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 42 41 $6K
0004A 256 243 $6K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 329 328 $5K
83605 1,868 1,610 $5K
99222 Initial hospital care, per day, moderate complexity 72 68 $5K
84484 1,632 1,233 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 824 511 $4K
99336 53 40 $4K
95886 104 53 $4K
99173 4,176 4,156 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,237 2,133 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29 24 $3K
81001 4,796 4,528 $3K
99417 Prolong home eval add 15m 88 86 $3K
70450 Computed tomography, head or brain; without contrast material 49 49 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 153 146 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 66 64 $3K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 25 25 $3K
86140 816 771 $3K
84443 Thyroid stimulating hormone (TSH) 764 726 $3K
99233 Prolong inpt eval add15 m 49 28 $3K
17110 138 133 $3K
90791 Psychiatric diagnostic evaluation 21 12 $3K
0072A 95 91 $2K
J7030 Infusion, normal saline solution , 1000 cc 3,083 2,683 $2K
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) 1,759 1,657 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 91 81 $2K
83036 Hemoglobin; glycosylated (A1C) 749 731 $2K
99347 69 62 $2K
0054A 83 77 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 40 40 $2K
83735 951 872 $2K
83880 166 157 $2K
87040 389 197 $2K
99325 39 37 $2K
87631 516 491 $2K
99460 28 27 $2K
82077 299 268 $2K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 135 76 $2K
99443 43 42 $2K
87081 1,002 959 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 36 28 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 79 76 $1K
0071A 77 75 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 79 76 $1K
83615 823 703 $1K
86780 98 95 $1K
99327 16 13 $1K
91320 28 24 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 40 39 $1K
83690 596 561 $1K
73630 40 37 $1K
85027 712 662 $1K
87086 Culture, bacterial; quantitative colony count, urine 395 384 $1K
99342 27 25 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,457 1,140 $976.60
74019 14 14 $962.90
20610 31 31 $901.53
G0127 Trimming of dystrophic nails, any number 40 29 $891.53
0124A 47 44 $871.76
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) 27 27 $852.32
90480 29 25 $754.65
99334 18 16 $703.26
0031A 19 19 $576.58
85610 893 819 $572.42
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 13 $511.55
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 18 18 $429.06
83655 39 38 $375.13
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 188 112 $370.56
36416 80 79 $357.60
J7050 Infusion, normal saline solution, 250 cc 345 108 $357.56
J1885 Injection, ketorolac tromethamine, per 15 mg 735 683 $349.60
81025 567 537 $343.50
99384 13 13 $226.86
99406 26 26 $218.41
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 166 156 $218.39
90656 193 193 $188.18
84481 12 12 $170.75
85018 98 91 $168.68
82607 14 14 $167.17
90670 390 360 $149.08
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 452 437 $143.63
82565 36 36 $143.36
85379 81 80 $140.17
J2405 Injection, ondansetron hydrochloride, per 1 mg 197 173 $139.94
81003 635 605 $126.39
87210 27 26 $120.67
86850 13 12 $105.15
82248 44 43 $99.87
84439 13 13 $97.31
94726 15 14 $91.99
J7120 Ringers lactate infusion, up to 1000 cc 319 257 $69.82
94729 15 14 $67.60
94060 12 12 $67.45
85652 113 108 $64.98
80306 18 14 $59.00
87503 165 156 $58.40
J0696 Injection, ceftriaxone sodium, per 250 mg 43 38 $56.97
87186 14 13 $44.45
96161 391 377 $43.24
90619 26 26 $42.45
84145 27 25 $41.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 267 193 $40.74
A9575 Injection, gadoterate meglumine, 0.1 ml 27 25 $32.48
82043 14 14 $28.33
90648 321 295 $15.21
J2704 Injection, propofol, 10 mg 249 204 $12.81
J3010 Injection, fentanyl citrate, 0.1 mg 104 89 $5.83
85730 217 200 $0.34
90685 102 100 $0.02
90723 57 49 $0.02
90633 70 68 $0.01
90734 26 26 $0.01
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 96 95 $0.00
90707 25 25 $0.00
80299 51 25 $0.00
91300 44 34 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 47 26 $0.00
90716 26 26 $0.00
J2060 Injection, lorazepam, 2 mg 26 24 $0.00
0352U 26 25 $0.00
90651 65 62 $0.00
90677 27 27 $0.00
80050 General health panel 14 14 $0.00
A9270 Non-covered item or service 20 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 20 13 $0.00