Medicaid Provider Spending

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

SOUTH CENTRAL COLFAX COUNTY HOSPITAL DISTRICT

NPI: 1124254545 · CIMARRON, NM 87714 · Health Service Clinic/Center · NPI assigned 06/01/2009

$57K
Total Medicaid Paid
1,915
Total Claims
1,778
Beneficiaries
11
Codes Billed
2019-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSILLAS-GRAVES, ANNABELLE (ADMINISTRATOR)
Parent OrganizationSOUTH CENTRAL COLFAX COUNTY HOSPITAL DISTRICT
NPI Enumeration Date06/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 67 $3K
2020 48 $2K
2021 111 $6K
2022 283 $7K
2023 1,030 $24K
2024 376 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 791 730 $57K
90674 12 12 $250.42
G0008 Administration of influenza virus vaccine 12 12 $33.56
3008F 502 471 $0.00
3079F 55 53 $0.00
3074F 215 204 $0.00
G8432 Depression screening not documented, reason not given 192 177 $0.00
1036F 29 27 $0.00
1160F 47 40 $0.00
3078F 13 12 $0.00
1159F 47 40 $0.00