Medicaid Provider Spending

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

ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

NPI: 1093801292 · PORTALES, NM 88130 · 133V00000X

$520K
Total Medicaid Paid
11,980
Total Claims
10,599
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,382 $85K
2019 3,478 $166K
2020 3,495 $164K
2021 1,040 $42K
2022 816 $23K
2023 354 $25K
2024 415 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 3,965 3,431 $167K
99214 1,777 1,613 $108K
64493 758 681 $55K
99204 193 186 $20K
20553 508 453 $19K
64635 93 89 $15K
99220 113 113 $14K
99203 169 164 $13K
62323 100 97 $12K
99283 165 161 $10K
43239 64 64 $9K
99308 389 332 $8K
64494 177 160 $7K
95251 207 203 $6K
99205 Prolong outpt/office vis 51 39 $6K
J1030 Methylprednisolone 40 mg inj 1,329 1,162 $6K
99217 104 104 $5K
20610 173 113 $5K
64450 184 66 $5K
87880 308 299 $4K
87804 235 230 $3K
95911 15 14 $3K
95886 15 14 $3K
99215 Prolong outpt/office vis 22 21 $3K
99202 50 50 $2K
64640 70 24 $2K
99309 134 124 $2K
99223 Prolong inpt eval add15 m 12 12 $2K
99222 14 13 $2K
99239 14 13 $1K
20552 30 28 $1K
64495 25 25 $1K
99212 17 17 $451.61
T1015 Clinic service 91 89 $300.30
G0511 Ccm/bhi by rhc/fqhc 20min mo 26 26 $137.51
96127 12 12 $59.60
3074F 27 25 $0.00
G8510 Scr dep neg, no plan reqd 115 110 $0.00
87428 44 43 $0.00
G8431 Pos clin depres scrn f/u doc 81 78 $0.00
2014F 74 73 $0.00
3078F 30 28 $0.00