Hospital
Grand Itasca Clinic and Hospital
Grand Itasca Clinic and Hospital was paid $25.15M by Medicaid between Jan 2018 and Dec 2024, across 195 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 39% of everything it billed.
33Billing provider infoGRAND ITASCA CLINIC AND HOSPITAL
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
33aNPI1669426631assigned 05/22/2006
33bProvider typeRehabilitation Hospital Unit
28Total paid$25.15M
24GClaims531,251
24DCodes billed195
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 53,632 | $3.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 39% | 116,280 | 108,169 | $9.84M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 12% | 10,689 | 9,766 | $2.90M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 10% | 16,575 | 14,409 | $2.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 69,232 | 62,734 | $2.14M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.6% | 25,632 | 22,118 | $1.91M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.2% | 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 | 1.9% | 8,279 | 7,907 | $484K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 3,530 | 3,382 | $278K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.1% | 2,152 | 2,034 | $270K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 3,628 | 3,532 | $236K |
| 36415 | Collection of venous blood by venipuncture | <1% | 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 | <1% | 11,367 | 10,904 | $175K |
183 more codes
| X5622 | <1% | 2,442 | $160K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,354 | $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 | <1% | 6,151 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,879 | $106K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 3,001 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,449 | $78K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 976 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,819 | $76K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,026 | $68K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,605 | $65K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,283 | $61K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,697 | $54K |
| 80053 | Comprehensive metabolic panel | <1% | 12,719 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,082 | $52K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 6,377 | $50K |
| 71045 | Radiologic examination, chest; single view | <1% | 851 | $48K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 11,934 | $47K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,811 | $41K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 477 | $38K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 505 | $36K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,193 | $35K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 627 | $35K |
| 99223 | Prolong inpt eval add15 m | <1% | 357 | $34K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 661 | $34K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 575 | $32K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 485 | $32K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 117 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,368 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,809 | $28K |
| 99205 | Prolong outpt/office vis | <1% | 227 | $28K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 835 | $26K |
| 0002A | <1% | 847 | $22K | |
| 92551 | <1% | 4,348 | $22K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 19,994 | $21K |
| 99188 | <1% | 4,301 | $20K | |
| 99442 | <1% | 707 | $19K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 300 | $18K |
| 0001A | <1% | 761 | $18K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,413 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 501 | $15K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 13 | $15K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 52 | $13K |
| G0008 | Administration of influenza virus vaccine | <1% | 915 | $12K |
| 99441 | <1% | 919 | $12K | |
| 90686 | <1% | 3,394 | $11K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,794 | $10K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 281 | $10K |
| 80061 | Lipid panel | <1% | 1,038 | $10K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 8,015 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,640 | $9K |
| 98940 | <1% | 788 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 359 | $9K |
| 96127 | <1% | 2,821 | $9K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 212 | $9K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 202 | $7K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 129 | $6K |
| 99335 | <1% | 146 | $6K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 42 | $6K |
| 0004A | <1% | 256 | $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 | <1% | 329 | $5K |
| 83605 | <1% | 1,868 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 72 | $5K |
| 84484 | <1% | 1,632 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 824 | $4K |
| 99336 | <1% | 53 | $4K | |
| 95886 | <1% | 104 | $4K | |
| 99173 | <1% | 4,176 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,237 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 29 | $3K |
| 81001 | <1% | 4,796 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 88 | $3K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 49 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 153 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 66 | $3K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 25 | $3K |
| 86140 | <1% | 816 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 764 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 49 | $3K |
| 17110 | <1% | 138 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 21 | $3K |
| 0072A | <1% | 95 | $2K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 3,083 | $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% | 1,759 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 91 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 749 | $2K |
| 99347 | <1% | 69 | $2K | |
| 0054A | <1% | 83 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 40 | $2K |
| 83735 | <1% | 951 | $2K | |
| 83880 | <1% | 166 | $2K | |
| 87040 | <1% | 389 | $2K | |
| 99325 | <1% | 39 | $2K | |
| 87631 | <1% | 516 | $2K | |
| 99460 | <1% | 28 | $2K | |
| 82077 | <1% | 299 | $2K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 135 | $2K |
| 99443 | <1% | 43 | $2K | |
| 87081 | <1% | 1,002 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 79 | $1K |
| 0071A | <1% | 77 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 79 | $1K |
| 83615 | <1% | 823 | $1K | |
| 86780 | <1% | 98 | $1K | |
| 99327 | <1% | 16 | $1K | |
| 91320 | <1% | 28 | $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 | <1% | 40 | $1K |
| 83690 | <1% | 596 | $1K | |
| 73630 | <1% | 40 | $1K | |
| 85027 | <1% | 712 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 395 | $1K |
| 99342 | <1% | 27 | $1K | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 1,457 | $976.60 |
| 74019 | <1% | 14 | $962.90 | |
| 20610 | <1% | 31 | $901.53 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 40 | $891.53 |
| 0124A | <1% | 47 | $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.) | <1% | 27 | $852.32 |
| 90480 | <1% | 29 | $754.65 | |
| 99334 | <1% | 18 | $703.26 | |
| 0031A | <1% | 19 | $576.58 | |
| 85610 | <1% | 893 | $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) | <1% | 14 | $511.55 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 18 | $429.06 |
| 83655 | <1% | 39 | $375.13 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 188 | $370.56 |
| 36416 | <1% | 80 | $357.60 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 345 | $357.56 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 735 | $349.60 |
| 81025 | <1% | 567 | $343.50 | |
| 99384 | <1% | 13 | $226.86 | |
| 99406 | <1% | 26 | $218.41 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 166 | $218.39 |
| 90656 | <1% | 193 | $188.18 | |
| 84481 | <1% | 12 | $170.75 | |
| 85018 | <1% | 98 | $168.68 | |
| 82607 | <1% | 14 | $167.17 | |
| 90670 | <1% | 390 | $149.08 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 452 | $143.63 |
| 82565 | <1% | 36 | $143.36 | |
| 85379 | <1% | 81 | $140.17 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 197 | $139.94 |
| 81003 | <1% | 635 | $126.39 | |
| 87210 | <1% | 27 | $120.67 | |
| 86850 | <1% | 13 | $105.15 | |
| 82248 | <1% | 44 | $99.87 | |
| 84439 | <1% | 13 | $97.31 | |
| 94726 | <1% | 15 | $91.99 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 319 | $69.82 |
| 94729 | <1% | 15 | $67.60 | |
| 94060 | <1% | 12 | $67.45 | |
| 85652 | <1% | 113 | $64.98 | |
| 80306 | <1% | 18 | $59.00 | |
| 87503 | <1% | 165 | $58.40 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 43 | $56.97 |
| 87186 | <1% | 14 | $44.45 | |
| 96161 | <1% | 391 | $43.24 | |
| 90619 | <1% | 26 | $42.45 | |
| 84145 | <1% | 27 | $41.17 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 267 | $40.74 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 27 | $32.48 |
| 82043 | <1% | 14 | $28.33 | |
| 90648 | <1% | 321 | $15.21 | |
| J2704 | Injection, propofol, 10 mg | <1% | 249 | $12.81 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 104 | $5.83 |
| 85730 | <1% | 217 | $0.34 | |
| 90685 | <1% | 102 | $0.02 | |
| 90723 | <1% | 57 | $0.02 | |
| 90633 | <1% | 70 | $0.01 | |
| 90734 | <1% | 26 | $0.01 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 96 | $0.00 |
| 90707 | 0% | 25 | $0.00 | |
| 80299 | 0% | 51 | $0.00 | |
| 91300 | 0% | 44 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 47 | $0.00 |
| 90716 | 0% | 26 | $0.00 | |
| J2060 | Injection, lorazepam, 2 mg | 0% | 26 | $0.00 |
| 0352U | 0% | 26 | $0.00 | |
| 90651 | 0% | 65 | $0.00 | |
| 90677 | 0% | 27 | $0.00 | |
| 80050 | General health panel | 0% | 14 | $0.00 |
| A9270 | Non-covered item or service | 0% | 20 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHRISTENSEN, TODD (VP OF FINANCE)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.