Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ely-Bloomenson Community Hospital

Ely-Bloomenson Community Hospital was paid $228K by Medicaid between Feb 2018 and Jul 2024, across 12 billing codes. Its largest line is 99283, emergency room visit (moderate) — 59% of everything it billed.

33Billing provider infoELY-BLOOMENSON COMMUNITY HOSPITAL
ELY, MN 55731
33aNPI1770542904assigned 03/17/2006
33bProvider typeCritical Access Hospital
28Total paid$228K
24GClaims2,989
24DCodes billed12
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers

Next to other Critical Access Hospital providers in Minnesota

Rank by total paid#50 of 68
Median peer was paid$798K
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018144$4K
2019342$22K
2020433$29K
2021748$39K
2022531$55K
2023589$63K
2024incomplete202$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 59% 1,063 795 $135K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 188 113 $34K
80053 Comprehensive metabolic panel 6.6% 166 155 $15K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4.9% 320 273 $11K
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 4.9% 195 148 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.5% 260 241 $8K
J3490 Unclassified drugs 2.4% 422 186 $5K
36415 Collection of venous blood by venipuncture 1.3% 248 222 $3K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 17 15 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 39 37 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 56 12 $1K
83735 <1% 15 12 $527.32

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 officialBANKS, PATRICIA (CEO)