Medicaid Provider Spending

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

MOUNTRAIL COUNTY MEDICAL CENTER, INC.

NPI: 1740378637 · STANLEY, ND 58784 · General Acute Care Hospital · NPI assigned 10/10/2006

$33K
Total Medicaid Paid
344
Total Claims
294
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGJELLSTAD, RYAN (BOARD PRESIDENT)
NPI Enumeration Date10/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $3K
2021 29 $3K
2022 123 $7K
2023 76 $10K
2024 55 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 144 135 $31K
36415 Collection of venous blood by venipuncture 148 118 $694.87
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 17 16 $646.58
85025 Blood count; complete (CBC), automated, and automated differential WBC count 35 25 $603.47