Medicaid Provider Spending

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

GOTHENBURG MEMORIAL HOSPITAL

NPI: 1922051531 · GOTHENBURG, NE 69138 · Critical Access Hospital · NPI assigned 05/18/2006

$1.43M
Total Medicaid Paid
27,385
Total Claims
20,942
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKNUST, ANDREW (CEO)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: KNUST, ANDREW

ProviderCityStateTotal Paid
GOTHENBURG MEMORIAL HOSPITAL GOTHENBURG NE $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,529 $100K
2019 2,913 $105K
2020 3,177 $125K
2021 6,921 $418K
2022 8,193 $483K
2023 3,019 $172K
2024 633 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 840 735 $202K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,033 499 $169K
80053 Comprehensive metabolic panel 2,351 1,882 $152K
99284 Emergency department visit for the evaluation and management, high severity 451 363 $138K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,999 2,382 $120K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,522 1,412 $89K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 621 479 $78K
36415 Collection of venous blood by venipuncture 5,563 4,337 $73K
87276 1,566 1,489 $48K
87275 1,566 1,488 $48K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,324 1,171 $42K
J3490 Unclassified drugs 1,650 801 $35K
81001 1,220 1,079 $30K
80050 General health panel 125 121 $30K
87420 283 273 $25K
71045 Radiologic examination, chest; single view 172 149 $19K
87430 376 369 $18K
84484 172 127 $18K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31 26 $17K
86140 283 236 $13K
83036 Hemoglobin; glycosylated (A1C) 292 283 $10K
83690 122 108 $7K
J8499 Prescription drug, oral, non chemotherapeutic, nos 754 211 $6K
80305 46 40 $5K
83880 48 39 $4K
J7120 Ringers lactate infusion, up to 1000 cc 105 98 $4K
84443 Thyroid stimulating hormone (TSH) 116 106 $4K
96375 Therapeutic injection; each additional sequential IV push 35 25 $3K
82553 69 51 $3K
81003 190 170 $3K
84702 34 26 $3K
80061 Lipid panel 53 52 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 27 24 $2K
85379 31 24 $2K
83874 48 38 $2K
80048 Basic metabolic panel (calcium, ionized) 38 36 $2K
82550 49 39 $2K
81025 31 29 $2K
83605 26 14 $1K
J7030 Infusion, normal saline solution , 1000 cc 31 24 $996.02
82150 27 25 $983.43
J1885 Injection, ketorolac tromethamine, per 15 mg 24 24 $439.89
90686 27 26 $312.25
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14 12 $63.29