Medicaid Provider Spending

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

GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC

NPI: 1932598018 · WASHINGTON, IN 47501 · Rural Health Clinic/Center · NPI assigned 01/13/2015

$99K
Total Medicaid Paid
4,324
Total Claims
3,299
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialMCLIN, ROBERT (CEO)
NPI Enumeration Date01/13/2015

Related Entities

Other providers sharing the same authorized official: MCLIN, ROBERT

ProviderCityStateTotal Paid
GOOD SAMARITAN EMS, INC. VINCENNES IN $1.32M
GOOD SAMARITAN HOSPITAL VINCENNES IN $229K
GOOD SAMARITAN HOSPITAL VINCENNES IN $7K
GOOD SAMARITAN HOSPITAL VINCENNES IN $1K
GOOD SAMARITAN HOSPITAL VINCENNES IN $0.00
SAMARITAN CENTER VINCENNES IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,324 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,876 2,091 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 902 751 $23K
T1015 Clinic visit/encounter, all-inclusive 61 54 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 26 $241.38
36415 Collection of venous blood by venipuncture 237 192 $40.17
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 162 145 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 15 $0.00