Medicaid Provider Spending

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

SAN JUAN COUNTY HOSPITAL

NPI: 1114121100 · MONTICELLO, UT 84535 · Emergency Care Clinic/Center · NPI assigned 06/13/2007

$8K
Total Medicaid Paid
149
Total Claims
140
Beneficiaries
2
Codes Billed
2021-08
First Month
2023-09
Last Month

Provider Details

Authorized OfficialCROFTS, FARLEY (CFO)
NPI Enumeration Date06/13/2007

Related Entities

Other providers sharing the same authorized official: CROFTS, FARLEY

ProviderCityStateTotal Paid
SAN JUAN COUNTY HOSPITAL BLANDING UT $384K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 51 $3K
2022 56 $3K
2023 42 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 137 128 $7K
99284 Emergency department visit for the evaluation and management, high severity 12 12 $1K