Medicaid Provider Spending

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

MOOSE LAKE COMMUNITY HOSPITAL DISTRICT

NPI: 1942398029 · MOOSE LAKE, MN 55767 · Critical Access Hospital · NPI assigned 10/11/2006

$419K
Total Medicaid Paid
6,777
Total Claims
6,173
Beneficiaries
19
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialDELFS, MICHAEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/11/2006

Related Entities

Other providers sharing the same authorized official: DELFS, MICHAEL

ProviderCityStateTotal Paid
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $3.97M
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $523K
MOOSE LAKE COMMUNITY HOSPITAL DISTRICT MOOSE LAKE MN $40K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $25K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $22K
LUTHERAN CHARITY ASSOCIATION JAMESTOWN ND $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,776 $154K
2019 2,805 $187K
2020 1,196 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 564 540 $106K
83036 Hemoglobin; glycosylated (A1C) 810 777 $60K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 727 681 $56K
80048 Basic metabolic panel (calcium, ionized) 288 261 $38K
99284 Emergency department visit for the evaluation and management, high severity 338 284 $38K
36415 Collection of venous blood by venipuncture 1,908 1,630 $32K
80061 Lipid panel 346 332 $28K
99283 Emergency department visit for the evaluation and management, moderate severity 721 662 $21K
84443 Thyroid stimulating hormone (TSH) 232 228 $19K
99282 Emergency department visit for the evaluation and management, low to moderate severity 360 343 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 223 216 $6K
82043 80 79 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 20 $1K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 25 24 $1K
J3490 Unclassified drugs 37 12 $969.45
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $670.63
J2250 Injection, midazolam hydrochloride, per 1 mg 43 36 $308.92
J3010 Injection, fentanyl citrate, 0.1 mg 29 24 $225.06
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $0.00