Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GOOD SAMARITAN BOYS RANCH

NPI: 1679771430 · BRIGHTON, MO 65617 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/03/2007

$13.43M
Total Medicaid Paid
32,427
Total Claims
14,118
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMAINE, MARK (DIRECTOR OF INFORMATION TECHNOLOGY)
NPI Enumeration Date07/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,158 $107K
2019 3,931 $108K
2020 5,364 $145K
2021 5,368 $132K
2022 4,612 $1.32M
2023 4,987 $6.56M
2024 4,007 $5.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 1,989 1,634 $12.53M
90853 Group psychotherapy (other than of a multiple-family group) 25,711 9,569 $612K
90834 Psychotherapy, 45 minutes with patient 2,757 1,068 $181K
H2022 Community-based wrap-around services, per diem 12 12 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 686 649 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 785 763 $22K
99309 Subsequent nursing facility care, per day, low to moderate complexity 299 273 $22K
99308 Subsequent nursing facility care, per day, straightforward 117 114 $7K
90837 Psychotherapy, 53 minutes with patient 16 12 $2K
90832 Psychotherapy, 30 minutes with patient 55 24 $1K