CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
NPI: 1174969125
· SALT LAKE CITY, UT 84111
· 261QD0000X
$4.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,782 |
$282K |
| 2019 |
4,893 |
$408K |
| 2020 |
5,089 |
$513K |
| 2021 |
5,505 |
$536K |
| 2022 |
3,479 |
$330K |
| 2023 |
7,571 |
$1.18M |
| 2024 |
6,882 |
$1.30M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,568 |
2,533 |
$974K |
| D1110 |
|
1,440 |
1,399 |
$570K |
| D7140 |
|
1,679 |
851 |
$494K |
| D0140 |
|
2,075 |
1,965 |
$479K |
| D0330 |
|
1,334 |
1,307 |
$383K |
| D0150 |
|
1,597 |
1,556 |
$331K |
| D1120 |
|
1,048 |
1,025 |
$328K |
| D2392 |
|
548 |
387 |
$267K |
| D0274 |
|
2,674 |
2,624 |
$198K |
| D4355 |
|
338 |
329 |
$149K |
| D2391 |
|
276 |
184 |
$88K |
| D1206 |
|
3,186 |
3,099 |
$85K |
| D2150 |
|
247 |
175 |
$67K |
| D0230 |
|
6,448 |
4,216 |
$42K |
| D2140 |
|
124 |
80 |
$24K |
| D0272 |
|
158 |
153 |
$22K |
| D1351 |
|
255 |
65 |
$14K |
| D0220 |
|
6,673 |
6,265 |
$11K |
| D2393 |
|
16 |
14 |
$11K |
| D9110 |
|
16 |
13 |
$6K |
| D1330 |
|
4,501 |
4,344 |
$519.00 |