GRANITE FALLS MUNICIPAL HOSPITAL AND MANOR
NPI: 1780654962
· GRANITE FALLS, MN 56241
· 282NC0060X
$447K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,380 |
$89K |
| 2019 |
9,472 |
$358K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,769 |
4,397 |
$173K |
| 99282 |
|
580 |
501 |
$76K |
| 99214 |
|
1,015 |
769 |
$43K |
| S0209 |
Wc van mileage per mi |
2,313 |
265 |
$40K |
| 36415 |
|
2,539 |
1,948 |
$21K |
| S0215 |
Nonemerg transp mileage |
204 |
65 |
$12K |
| A0130 |
Noner transport wheelch van |
1,667 |
261 |
$12K |
| 90837 |
|
415 |
213 |
$11K |
| 85025 |
|
466 |
397 |
$10K |
| 96127 |
|
198 |
189 |
$10K |
| A0425 |
Ground mileage |
28 |
18 |
$6K |
| 99212 |
|
248 |
200 |
$5K |
| A0427 |
Als1-emergency |
18 |
14 |
$5K |
| 80048 |
|
166 |
146 |
$5K |
| 87651 |
|
105 |
99 |
$4K |
| 90471 |
|
175 |
165 |
$3K |
| 80053 |
|
101 |
88 |
$3K |
| T2003 |
N-et; encounter/trip |
181 |
65 |
$2K |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
12 |
12 |
$1K |
| 90686 |
|
169 |
159 |
$861.56 |
| 87502 |
|
17 |
15 |
$828.74 |
| 96372 |
|
21 |
13 |
$702.94 |
| 84443 |
|
55 |
51 |
$568.78 |
| 92551 |
|
65 |
62 |
$448.37 |
| G0008 |
Admin influenza virus vac |
41 |
41 |
$447.67 |
| 85018 |
|
37 |
37 |
$447.60 |
| 81001 |
|
28 |
24 |
$417.04 |
| 90472 |
|
12 |
12 |
$152.20 |
| 80061 |
|
14 |
13 |
$136.93 |
| 99173 |
|
83 |
74 |
$113.00 |
| P9604 |
One-way allow prorated trip |
110 |
65 |
$24.55 |