Medicaid Provider Spending

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

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

NPI: 1760542500 · CAVALIER, ND 58220 · Critical Access Hospital · NPI assigned 12/11/2006

$7K
Total Medicaid Paid
1,911
Total Claims
1,316
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLETEXIER, LISA (CEO)
NPI Enumeration Date12/11/2006

Related Entities

Other providers sharing the same authorized official: LETEXIER, LISA

ProviderCityStateTotal Paid
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION CAVALIER ND $171K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,157 $4K
2019 169 $671.21
2020 173 $403.97
2021 102 $415.13
2022 168 $960.72
2023 61 $968.37
2024 81 $192.97

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 525 366 $2K
36415 Collection of venous blood by venipuncture 955 692 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 134 56 $1K
80053 Comprehensive metabolic panel 235 152 $934.67
87428 47 38 $556.44
99334 15 12 $291.45