Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL CA LTD PTP

NPI: 1861108631 · ARVIN, CA 93203 · Rural Health Clinic/Center · NPI assigned 01/25/2023

$1.01M
Total Medicaid Paid
30,793
Total Claims
24,462
Beneficiaries
25
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALBROOK, GERRIE (CFO)
NPI Enumeration Date01/25/2023

Related Entities

Other providers sharing the same authorized official: HALBROOK, GERRIE

ProviderCityStateTotal Paid
GOOD SAMARITAN HOSPITAL CA LTD PTP WASCO CA $10.08M
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $387K
GOOD SAM HEALING CENTER BAKERSFIELD CA $270K
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $72K
GOOD SAMARITAN HEALING CENTER BAKERSFIELD CA $60K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 30,793 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,938 7,957 $903K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,060 943 $20K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 167 163 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 143 137 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 102 99 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 233 214 $8K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 963 861 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 42 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 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 70 47 $4K
81025 620 574 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 288 272 $2K
81003 843 802 $1K
90657 39 38 $332.69
90686 21 19 $242.43
3078F 2,729 2,320 $0.00
3077F 433 386 $0.00
3008F 4,543 3,772 $0.00
3075F 623 576 $0.00
3074F 3,245 2,749 $0.00
3080F 276 252 $0.00
3079F 1,332 1,201 $0.00
3048F 350 333 $0.00
3049F 85 82 $0.00
3044F 606 584 $0.00