NORTHERN ITASCA HOSPITAL DISTRICT
NPI: 1851335525
· BIGFORK, MN 56628
· 282NC0060X
$176K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,104 |
$5K |
| 2019 |
772 |
$18K |
| 2020 |
663 |
$29K |
| 2021 |
1,417 |
$53K |
| 2022 |
1,497 |
$37K |
| 2023 |
1,223 |
$26K |
| 2024 |
325 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
|
643 |
433 |
$52K |
| 36415 |
|
2,979 |
2,550 |
$43K |
| 98941 |
|
2,039 |
1,178 |
$39K |
| 85025 |
|
397 |
337 |
$21K |
| 99213 |
|
275 |
195 |
$9K |
| 80053 |
|
41 |
37 |
$3K |
| 99282 |
|
12 |
12 |
$2K |
| 80048 |
|
13 |
12 |
$1K |
| 99214 |
|
21 |
15 |
$1K |
| G0008 |
Admin influenza virus vac |
29 |
29 |
$830.01 |
| 90662 |
|
30 |
30 |
$726.41 |
| 99203 |
|
12 |
12 |
$713.98 |
| 0012A |
|
27 |
26 |
$461.24 |
| 0002A |
|
20 |
20 |
$360.03 |
| 0011A |
|
19 |
19 |
$275.34 |
| 0001A |
|
12 |
12 |
$232.97 |
| 0134A |
|
13 |
13 |
$218.40 |
| A9270 |
Non-covered item or service |
46 |
24 |
$20.21 |
| 91313 |
|
12 |
12 |
$0.09 |
| 97530 |
|
262 |
134 |
$0.00 |
| 98940 |
|
24 |
13 |
$0.00 |
| G8942 |
Doc fcn/care plan w/30 days |
18 |
13 |
$0.00 |
| G8539 |
Doc funct and care plan |
34 |
30 |
$0.00 |
| G8730 |
Pain doc pos and plan |
23 |
13 |
$0.00 |