Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › PORTALES › ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

NPI: 1073517058 · PORTALES, NM 88130 · General Acute Care Hospital · NPI assigned 06/08/2005

$13.24M
Total Medicaid Paid
326,531
Total Claims
275,753
Beneficiaries
201
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOYER, WILLIAM (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/08/2005

Related Entities

Other providers sharing the same authorized official: BOYER, WILLIAM

ProviderCityStateTotal Paid
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT CLOVIS NM $3.41M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54,033 $2.04M
2019 47,656 $1.96M
2020 27,958 $1.04M
2021 31,560 $1.18M
2022 46,914 $1.80M
2023 62,314 $2.60M
2024 56,096 $2.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 11,792 10,821 $2.41M
99283 Emergency department visit for the evaluation and management, moderate severity 7,720 7,362 $1.19M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 2,195 2,123 $777K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,949 1,826 $738K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,663 2,440 $714K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,399 2,394 $556K
80053 Comprehensive metabolic panel 26,175 22,617 $411K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,009 1,185 $367K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,264 6,249 $354K
G0378 Hospital observation service, per hour 998 799 $352K
96361 Intravenous infusion, hydration; each additional hour 3,347 2,598 $331K
70450 Computed tomography, head or brain; without contrast material 1,941 1,764 $320K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,479 4,953 $284K
96375 Therapeutic injection; each additional sequential IV push 4,451 3,638 $214K
71045 Radiologic examination, chest; single view 4,157 3,723 $181K
76000 1,388 1,268 $177K
84443 Thyroid stimulating hormone (TSH) 9,590 9,263 $170K
71046 Radiologic examination, chest; 2 views 3,106 2,877 $161K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,043 838 $156K
74176 Computed tomography, abdomen and pelvis; without contrast material 555 518 $140K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,402 1,161 $137K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,743 2,962 $133K
36415 Collection of venous blood by venipuncture 33,327 27,861 $126K
85027 16,106 14,075 $107K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,164 9,124 $102K
80061 Lipid panel 5,782 5,663 $93K
83880 4,020 3,293 $90K
99282 Emergency department visit for the evaluation and management, low to moderate severity 748 736 $84K
84484 5,013 3,877 $76K
97597 959 143 $70K
87400 2,191 1,824 $66K
73562 786 744 $64K
83690 5,185 4,692 $64K
76705 Ultrasound, abdominal, real time with image documentation; limited 577 562 $61K
96376 1,192 757 $57K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,617 1,567 $56K
87581 1,673 1,621 $56K
87486 1,673 1,621 $55K
80305 2,682 2,499 $54K
81001 8,621 7,944 $51K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 117 115 $48K
84439 3,856 3,799 $48K
83036 Hemoglobin; glycosylated (A1C) 4,786 4,688 $47K
86140 5,153 4,657 $45K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,731 1,717 $43K
J3490 Unclassified drugs 6,238 3,858 $43K
72100 471 460 $42K
64493 116 109 $40K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,615 5,742 $37K
97161 1,160 1,100 $35K
74022 398 386 $34K
73030 421 389 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,146 1,081 $32K
83013 588 584 $32K
73610 320 307 $32K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 34 27 $31K
82553 2,308 1,817 $30K
73630 459 438 $30K
87071 1,623 1,586 $30K
83874 2,187 1,717 $29K
J1610 Injection, glucagon hydrochloride, per 1 mg 179 170 $29K
83605 2,425 2,013 $28K
87040 1,247 947 $27K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 291 193 $26K
83735 3,824 3,268 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,865 1,816 $25K
99281 Emergency department visit for the evaluation and management, self-limited or minor 391 381 $22K
85610 4,368 3,715 $22K
82150 1,972 1,785 $22K
71275 Computed tomographic angiography, chest, with contrast material 78 75 $22K
81025 1,994 1,901 $22K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 251 242 $21K
87086 Culture, bacterial; quantitative colony count, urine 2,722 2,574 $21K
80074 474 470 $21K
73130 284 276 $21K
80048 Basic metabolic panel (calcium, ionized) 1,382 1,208 $20K
85730 3,058 2,736 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 528 475 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 608 596 $20K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 610 597 $20K
0202U Oncology (prostate), multianalyte, gene expression profiling 113 110 $17K
72125 Computed tomography, cervical spine; without contrast material 87 79 $17K
85379 1,299 1,200 $15K
77067 Screening mammography, bilateral, including computer-aided detection 105 104 $15K
84403 623 617 $15K
J7030 Infusion, normal saline solution , 1000 cc 5,566 3,937 $15K
64450 33 28 $14K
84703 1,174 1,086 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 333 122 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 127 117 $12K
82607 739 735 $11K
84481 587 582 $10K
87186 932 898 $10K
82043 1,164 1,135 $10K
95992 436 404 $10K
82670 348 342 $10K
64494 76 70 $10K
80320 614 534 $9K
86703 614 612 $9K
86235 72 72 $9K
85652 1,343 1,278 $8K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 16 16 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 213 210 $7K
83001 378 375 $7K
86376 468 463 $6K
62323 16 15 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,587 2,223 $6K
83525 415 411 $6K
82728 394 390 $6K
64495 44 43 $5K
73110 85 82 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,327 1,891 $5K
73502 105 97 $5K
82570 827 812 $5K
76536 45 44 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,408 1,275 $4K
87428 61 61 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $4K
88312 53 53 $4K
J7050 Infusion, normal saline solution, 250 cc 958 559 $4K
83540 524 519 $4K
82550 532 467 $4K
87807 148 147 $4K
83550 374 373 $4K
94762 65 52 $4K
74178 15 12 $4K
J8499 Prescription drug, oral, non chemotherapeutic, nos 1,779 1,198 $4K
87077 386 366 $3K
74019 31 29 $3K
86592 449 444 $3K
87507 245 234 $3K
J2270 Injection, morphine sulfate, up to 10 mg 1,105 747 $3K
72110 28 28 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 954 796 $2K
86677 112 109 $2K
82805 43 37 $2K
J7120 Ringers lactate infusion, up to 1000 cc 888 793 $2K
97032 115 39 $2K
80329 113 108 $1K
84153 87 86 $1K
86000 37 37 $1K
86780 91 90 $1K
83014 116 115 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 414 357 $1K
80143 45 44 $1K
84550 179 176 $1K
80327 86 80 $1K
86225 73 73 $1K
86038 81 80 $940.51
J0131 Injection, acetaminophen, not otherwise specified,10 mg 228 224 $929.48
86431 119 117 $892.29
82948 139 102 $871.71
73080 12 12 $752.11
96367 13 12 $667.99
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 25 $652.64
J3010 Injection, fentanyl citrate, 0.1 mg 421 335 $604.92
84402 26 26 $596.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg 286 211 $589.81
83655 39 39 $579.22
74018 14 14 $576.77
99001 123 118 $537.45
86200 38 37 $510.89
J2060 Injection, lorazepam, 2 mg 197 152 $508.06
84480 24 24 $440.54
84436 60 60 $399.79
90460 Immunization administration through 18 years of age via any route, first or only component 18 18 $352.58
82274 24 24 $344.52
87338 25 25 $329.26
J2765 Injection, metoclopramide hcl, up to 10 mg 129 97 $297.20
82746 24 24 $292.58
90715 26 25 $235.21
J1815 Injection, insulin, per 5 units 43 25 $231.02
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 77 65 $221.73
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 14 13 $207.35
84100 38 37 $194.89
J1650 Injection, enoxaparin sodium, 10 mg 65 40 $194.82
J0171 Injection, adrenalin, epinephrine, 0.1 mg 33 28 $190.77
J2919 Injection, methylprednisolone sodium succinate, 5 mg 33 25 $169.78
J1170 Injection, hydromorphone, up to 4 mg 124 79 $169.37
S0077 Injection, clindamycin phosphate, 300 mg 78 74 $162.87
87210 24 24 $160.38
77003 266 229 $160.22
J3480 Injection, potassium chloride, per 2 meq 44 39 $155.46
S0164 Injection, pantoprazole sodium, 40 mg 42 32 $141.15
A9270 Non-covered item or service 140 94 $130.15
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 49 38 $128.87
86706 13 13 $120.61
J1200 Injection, diphenhydramine hcl, up to 50 mg 90 78 $117.25
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 25 12 $103.38
J2550 Injection, promethazine hcl, up to 50 mg 32 27 $89.18
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 68 46 $50.92
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 33 30 $42.29
A4331 Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each 14 14 $40.00
J1171 Injection, hydromorphone, 0.1 mg 21 15 $35.85
J2175 Injection, meperidine hydrochloride, per 100 mg 14 12 $35.84
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 86 70 $30.28
J8597 Antiemetic drug, oral, not otherwise specified 27 26 $30.18
J0690 Injection, cefazolin sodium, 500 mg 23 13 $21.79
G8991 Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 13 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 13 13 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 104 81 $0.00