Nursing facility
Dhhs,phs,naihs, Gallup Indian Medical Center
Dhhs,phs,naihs, Gallup Indian Medical Center was paid $32.66M by Medicaid between Jan 2018 and Nov 2024, across 90 billing codes. Its largest line is Q3014, Telehealth originating site facility fee — 50% of everything it billed.
33Billing provider infoDHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1225002322assigned 02/15/2006
33bProvider typeCustodial Care Facility
28Total paid$32.66M
24GClaims145,055
24DCodes billed90
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25,742 | $1.67M | |
| 2019 | 22,164 | $1.81M | |
| 2020 | 23,482 | $6.61M | |
| 2021 | 29,969 | $10.75M | |
| 2022 | 21,685 | $7.57M | |
| 2023 | 13,601 | $2.73M | |
| 2024incomplete | 8,412 | $1.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 50% | 32,407 | 28,427 | $16.35M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 65,868 | 45,434 | $6.52M |
| 0002A | 4.0% | 2,599 | 2,581 | $1.31M | |
| 0001A | 3.6% | 2,372 | 2,358 | $1.19M | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 1,610 | 1,341 | $842K |
| 0124A | 1.9% | 1,297 | 1,293 | $623K | |
| 99442 | 1.8% | 1,523 | 1,459 | $595K | |
| 0054A | 1.7% | 1,070 | 1,066 | $566K | |
| 0004A | 1.5% | 978 | 974 | $495K | |
| 0064A | 1.5% | 953 | 943 | $477K | |
| 0072A | 1.4% | 846 | 835 | $472K | |
| 0071A | 1.4% | 829 | 817 | $443K |
78 more codes
| 99441 | 1.1% | 820 | $369K | |
| 99443 | <1% | 432 | $195K | |
| 0134A | <1% | 424 | $191K | |
| 0012A | <1% | 366 | $187K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,780 | $184K |
| 0011A | <1% | 347 | $179K | |
| 0003A | <1% | 290 | $125K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,764 | $125K |
| 0082A | <1% | 149 | $95K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 753 | $86K |
| 99223 | Prolong inpt eval add15 m | <1% | 594 | $85K |
| 0052A | <1% | 137 | $84K | |
| 0051A | <1% | 125 | $78K | |
| 0154A | <1% | 99 | $63K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 86 | $53K |
| 38300 | <1% | 304 | $53K | |
| 0031A | <1% | 104 | $51K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 675 | $51K |
| 0074A | <1% | 71 | $44K | |
| 40500 | <1% | 129 | $43K | |
| 0081A | <1% | 66 | $42K | |
| 51900 | <1% | 78 | $38K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 885 | $38K |
| 0083A | <1% | 38 | $24K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 323 | $20K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 960 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 184 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,153 | $19K |
| 54100 | <1% | 150 | $18K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,731 | $18K |
| G0008 | Administration of influenza virus vaccine | <1% | 2,387 | $17K |
| 88304 | <1% | 921 | $13K | |
| 71045 | Radiologic examination, chest; single view | <1% | 2,502 | $13K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $12K |
| 45500 | <1% | 34 | $11K | |
| 42700 | <1% | 84 | $11K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,883 | $11K |
| 0173A | <1% | 15 | $10K | |
| 0174A | <1% | 13 | $8K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 159 | $6K |
| 99283 | Emergency room visit (moderate) | <1% | 360 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 253 | $3K |
| 65400 | <1% | 40 | $3K | |
| 90686 | <1% | 1,137 | $3K | |
| 90688 | <1% | 484 | $2K | |
| 91320 | <1% | 218 | $2K | |
| 90480 | <1% | 371 | $2K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 49 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 102 | $2K |
| 73630 | <1% | 189 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 45 | $1K |
| 99460 | <1% | 12 | $1K | |
| 90677 | <1% | 142 | $1K | |
| 91322 | <1% | 95 | $963.37 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 32 | $794.97 |
| G0009 | Administration of pneumococcal vaccine | <1% | 433 | $776.22 |
| 90662 | <1% | 303 | $769.81 | |
| 88307 | <1% | 12 | $766.28 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 200 | $738.21 |
| 90694 | <1% | 256 | $727.07 | |
| 97164 | <1% | 41 | $695.98 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 37 | $690.29 |
| 99284 | Emergency room visit (serious) | <1% | 13 | $517.66 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 39 | $501.84 |
| 92504 | <1% | 190 | $483.65 | |
| 73562 | <1% | 33 | $192.82 | |
| 90670 | <1% | 55 | $166.33 | |
| 73610 | <1% | 33 | $153.90 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 27 | $97.55 |
| 90674 | <1% | 61 | $94.97 | |
| 90732 | <1% | 28 | $71.17 | |
| 73110 | <1% | 14 | $38.42 | |
| 90656 | <1% | 20 | $36.61 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 200 | $0.00 |
| 64000 | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDETSOI-SMILEY, PAMELA (CEO)
| Provider | Location | Paid |
|---|---|---|
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Tohatchi, NM | $2.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.