Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › CROWNPOINT › DHHS PHS NAIHS CROWNPOINT HOSPITAL

DHHS PHS NAIHS CROWNPOINT HOSPITAL

NPI: 1114960093 · CROWNPOINT, NM 87313 · General Acute Care Hospital · NPI assigned 06/14/2006

$35.30M
Total Medicaid Paid
75,203
Total Claims
57,812
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROANHORSE, ANSLEM (CEO)
NPI Enumeration Date06/14/2006

Related Entities

Other providers sharing the same authorized official: ROANHORSE, ANSLEM

ProviderCityStateTotal Paid
THOREAU CLINIC THOREAU NM $827K
PUEBLO PINTADO CLINIC CUBA NM $772K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,103 $460K
2019 3,608 $441K
2020 10,189 $3.76M
2021 18,692 $8.66M
2022 15,876 $8.66M
2023 12,337 $7.02M
2024 10,398 $6.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 49,098 35,813 $28.56M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,706 10,106 $1.55M
0001A 1,565 1,562 $799K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,847 1,652 $715K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,340 1,218 $711K
0002A 1,338 1,338 $692K
0011A 578 576 $293K
0003A 497 497 $251K
0012A 483 481 $248K
0071A 427 423 $235K
0054A 363 360 $198K
0072A 331 331 $192K
0064A 287 284 $151K
99282 Emergency department visit for the evaluation and management, low to moderate severity 762 712 $146K
0004A 224 224 $128K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 306 291 $83K
0124A 142 142 $64K
0013A 104 104 $52K
99283 Emergency department visit for the evaluation and management, moderate severity 166 158 $45K
90480 107 107 $41K
0052A 44 43 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 209 181 $22K
0051A 30 30 $16K
D0140 Limited oral evaluation - problem focused 31 28 $16K
65400 93 72 $15K
99281 Emergency department visit for the evaluation and management, self-limited or minor 49 48 $15K
0134A 29 29 $12K
0074A 13 13 $8K
99443 137 133 $5K
99222 Initial hospital care, per day, moderate complexity 42 40 $4K
90656 36 36 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 59 54 $2K
99238 Hospital discharge day management, 30 minutes or less 28 27 $1K
G0008 Administration of influenza virus vaccine 330 327 $899.54
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 29 18 $799.58
90662 62 62 $760.75
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 160 157 $332.16
90694 30 30 $317.86
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 29 28 $288.24
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 30 15 $265.73
90686 15 15 $142.74
20610 14 14 $131.43
91320 17 17 $43.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $0.00