DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
NPI: 1083839476
· SANOSTEE, NM 87461
· Clinic/Center
· NPI assigned 04/13/2007
$107K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COMER, FANNESSA
| Provider | City | State | Total Paid |
|---|
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
SHIPROCK |
NM |
$190.58M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
TEECNOSPOS |
AZ |
$12.76M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
BLOOMFIELD |
NM |
$3.52M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
SHIPROCK |
NM |
$126K |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
TOADLENA |
NM |
$16K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
266 |
$51K |
| 2024 |
105 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
136 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
169 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$300.00 |