Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Arvin › NPI 1861108631
Clinic

Good Samaritan Hospital Ca LTD PTP

Good Samaritan Hospital Ca LTD PTP was paid $1.01M by Medicaid between Jun 2024 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoGOOD SAMARITAN HOSPITAL CA LTD PTP
ARVIN, CA 93203
33aNPI1861108631assigned 01/25/2023
28Total paid$1.01M
24GClaims30,793
24DCodes billed25
24AFirst – last monthJun 2024 – Dec 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in California

Rank by total paid#164 of 215
Median peer was paid$3.62M
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$100K$200K2018201920202021202220232024
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
2024incomplete30,793$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90% 11,938 7,957 $903K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.0% 1,060 943 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 167 163 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.8% 143 137 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 102 99 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 233 214 $8K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 963 861 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 44 42 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 40 39 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 70 47 $4K
81025 <1% 620 574 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 288 272 $2K
13 more codes
81003 <1% 843 $1K
90657 <1% 39 $332.69
90686 <1% 21 $242.43
3078F 0% 2,729 $0.00
3077F 0% 433 $0.00
3008F 0% 4,543 $0.00
3075F 0% 623 $0.00
3074F 0% 3,245 $0.00
3080F 0% 276 $0.00
3079F 0% 1,332 $0.00
3048F 0% 350 $0.00
3049F 0% 85 $0.00
3044F 0% 606 $0.00

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 officialHALBROOK, GERRIE (CFO)
Same official

Other billing entities under HALBROOK, GERRIE

Full network →
ProviderLocationPaid
Good Samaritan Hospital Ca LTD PTPWasco, CA$10.08M
Good Samaritan Healing CenterBakersfield, CA$387K
Good Sam Healing CenterBakersfield, CA$270K
Good Samaritan Healing CenterBakersfield, CA$72K
Good Samaritan Healing CenterBakersfield, CA$60K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.