MEMORIAL HOSPITAL OF SOUTH BEND
NPI: 1881177756
· GRANGER, IN 46530
· 282N00000X
$1.34M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$2K |
| 2020 |
192 |
$20K |
| 2021 |
1,503 |
$211K |
| 2022 |
3,340 |
$483K |
| 2023 |
2,852 |
$414K |
| 2024 |
1,485 |
$209K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,147 |
6,291 |
$1.19M |
| 87636 |
|
702 |
633 |
$65K |
| 99282 |
|
255 |
237 |
$39K |
| 99284 |
|
192 |
181 |
$34K |
| 71045 |
|
50 |
42 |
$7K |
| 99285 |
|
12 |
12 |
$3K |
| 85025 |
|
436 |
372 |
$2K |
| 80048 |
|
298 |
254 |
$1K |
| 87651 |
|
42 |
41 |
$1K |
| 81001 |
|
230 |
195 |
$365.50 |
| J1885 |
Ketorolac tromethamine inj |
28 |
27 |
$0.00 |