CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
NPI: 1194189233
· SALT LAKE CITY, UT 84111
· 261QM0801X
$13.89M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,223 |
$388K |
| 2019 |
2,538 |
$1000K |
| 2020 |
804 |
$374K |
| 2021 |
3,899 |
$1.84M |
| 2022 |
5,579 |
$2.96M |
| 2023 |
5,356 |
$3.32M |
| 2024 |
5,700 |
$4.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
9,726 |
5,773 |
$5.24M |
| 90853 |
|
7,858 |
2,696 |
$4.25M |
| 90834 |
|
4,298 |
2,681 |
$2.68M |
| 90832 |
|
1,352 |
1,035 |
$767K |
| H2019 |
Ther behav svc, per 15 min |
1,226 |
737 |
$575K |
| 99214 |
|
351 |
325 |
$252K |
| 90791 |
|
212 |
197 |
$98K |
| 99347 |
|
27 |
16 |
$10K |
| H0038 |
Self-help/peer svc per 15min |
27 |
15 |
$10K |
| 96127 |
|
22 |
21 |
$0.00 |