Hospital
Gothenburg Memorial Hospital
Gothenburg Memorial Hospital was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.
33Billing provider infoGOTHENBURG MEMORIAL HOSPITAL
GOTHENBURG, NE 69138
GOTHENBURG, NE 69138
33aNPI1922051531assigned 05/18/2006
33bProvider typeCritical Access Hospital
28Total paid$1.43M
24GClaims27,385
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Nebraska
Rank by total paid#9 of 53
Median peer was paid$593K
This provider vs. median2.4×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 633 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 840 | 735 | $202K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12% | 2,033 | 499 | $169K |
| 80053 | Comprehensive metabolic panel | 11% | 2,351 | 1,882 | $152K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 9.7% | 451 | 363 | $138K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.4% | 2,999 | 2,382 | $120K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.2% | 1,522 | 1,412 | $89K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 5.5% | 621 | 479 | $78K |
| 36415 | Collection of venous blood by venipuncture | 5.1% | 5,563 | 4,337 | $73K |
| 87276 | 3.4% | 1,566 | 1,489 | $48K | |
| 87275 | 3.4% | 1,566 | 1,488 | $48K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 3.0% | 1,324 | 1,171 | $42K |
| J3490 | Unclassified drugs | 2.4% | 1,650 | 801 | $35K |
32 more codes
| 81001 | 2.1% | 1,220 | $30K | |
| 80050 | General health panel | 2.1% | 125 | $30K |
| 87420 | 1.7% | 283 | $25K | |
| 71045 | Radiologic examination, chest; single view | 1.3% | 172 | $19K |
| 87430 | 1.3% | 376 | $18K | |
| 84484 | 1.2% | 172 | $18K | |
| 99285 | Emergency room visit (most serious) | 1.2% | 31 | $17K |
| 86140 | <1% | 283 | $13K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 292 | $10K |
| 83690 | <1% | 122 | $7K | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 754 | $6K |
| 80305 | <1% | 46 | $5K | |
| 83880 | <1% | 48 | $4K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 105 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 116 | $4K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 35 | $3K |
| 82553 | <1% | 69 | $3K | |
| 81003 | <1% | 190 | $3K | |
| 84702 | <1% | 34 | $3K | |
| 80061 | Lipid panel | <1% | 53 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 27 | $2K |
| 85379 | <1% | 31 | $2K | |
| 83874 | <1% | 48 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 38 | $2K |
| 82550 | <1% | 49 | $2K | |
| 81025 | <1% | 31 | $2K | |
| 83605 | <1% | 26 | $1K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 31 | $996.02 |
| 82150 | <1% | 27 | $983.43 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 24 | $439.89 |
| 90686 | <1% | 27 | $312.25 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | $63.29 |
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 officialKNUST, ANDREW (CEO)
| Provider | Location | Paid |
|---|---|---|
| Gothenburg Memorial Hospital | Gothenburg, NE | $1.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.