Medicaid Provider Spending

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

KAYENTA ALTERNATIVE RURAL HOSPITAL

NPI: 1194991679 · KAYENTA, AZ 86033 · General Practice Physician · NPI assigned 05/05/2008

$2K
Total Medicaid Paid
68
Total Claims
66
Beneficiaries
4
Codes Billed
2021-05
First Month
2022-01
Last Month

Provider Details

Authorized OfficialKELEWOOD, TERRI (BUSINESS OFFICE MANAGER)
NPI Enumeration Date05/05/2008

Related Entities

Other providers sharing the same authorized official: KELEWOOD, TERRI

ProviderCityStateTotal Paid
KAYENTA ALTERNATIVE RURAL HOSPITAL KAYENTA AZ $9.82M
KAYENTA ALTERNATIVE RURAL HOSPITAL TONALEA AZ $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 38 $1K
2022 30 $903.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 25 25 $967.25
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 14 $692.70
0002A 13 13 $502.97
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 14 $211.05