Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › GALLUP › DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER

DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER

NPI: 1225002322 · GALLUP, NM 87301 · Custodial Care Facility · NPI assigned 02/15/2006

$32.66M
Total Medicaid Paid
145,055
Total Claims
115,803
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDETSOI-SMILEY, PAMELA (CEO)
NPI Enumeration Date02/15/2006

Related Entities

Other providers sharing the same authorized official: DETSOI-SMILEY, PAMELA

ProviderCityStateTotal Paid
DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER TOHATCHI NM $2.46M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,412 $1.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 32,407 28,427 $16.35M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65,868 45,434 $6.52M
0002A 2,599 2,581 $1.31M
0001A 2,372 2,358 $1.19M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,610 1,341 $842K
0124A 1,297 1,293 $623K
99442 1,523 1,459 $595K
0054A 1,070 1,066 $566K
0004A 978 974 $495K
0064A 953 943 $477K
0072A 846 835 $472K
0071A 829 817 $443K
99441 820 785 $369K
99443 432 413 $195K
0134A 424 420 $191K
0012A 366 363 $187K
99233 Prolong inpt eval add15 m 2,780 1,144 $184K
0011A 347 344 $179K
0003A 290 289 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,764 4,163 $125K
0082A 149 148 $95K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 753 718 $86K
99223 Prolong inpt eval add15 m 594 590 $85K
0052A 137 134 $84K
0051A 125 124 $78K
0154A 99 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 86 68 $53K
38300 304 228 $53K
0031A 104 101 $51K
99239 Hospital discharge day management, more than 30 minutes 675 663 $51K
0074A 71 70 $44K
40500 129 94 $43K
0081A 66 66 $42K
51900 78 67 $38K
88305 Level IV - Surgical pathology, gross and microscopic examination 885 832 $38K
0083A 38 38 $24K
99232 Subsequent hospital care, per day, moderate complexity 323 165 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 960 946 $20K
99222 Initial hospital care, per day, moderate complexity 184 184 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 39 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,153 973 $19K
54100 150 118 $18K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,731 763 $18K
G0008 Administration of influenza virus vaccine 2,387 2,375 $17K
88304 921 892 $13K
71045 Radiologic examination, chest; single view 2,502 2,225 $13K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $12K
45500 34 25 $11K
42700 84 65 $11K
71046 Radiologic examination, chest; 2 views 1,883 1,830 $11K
0173A 15 15 $10K
0174A 13 12 $8K
99238 Hospital discharge day management, 30 minutes or less 80 78 $6K
77067 Screening mammography, bilateral, including computer-aided detection 159 154 $6K
99283 Emergency department visit for the evaluation and management, moderate severity 360 345 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 253 246 $3K
65400 40 32 $3K
90686 1,137 1,131 $3K
90688 484 480 $2K
91320 218 218 $2K
90480 371 371 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 49 49 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 102 98 $2K
73630 189 167 $1K
99215 Prolong outpt/office vis 15 15 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 45 44 $1K
99460 12 12 $1K
90677 142 142 $1K
91322 95 95 $963.37
99309 Subsequent nursing facility care, per day, low to moderate complexity 32 30 $794.97
G0009 Administration of pneumococcal vaccine 433 432 $776.22
90662 303 303 $769.81
88307 12 12 $766.28
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 200 193 $738.21
90694 256 256 $727.07
97164 41 41 $695.98
70450 Computed tomography, head or brain; without contrast material 37 37 $690.29
99284 Emergency department visit for the evaluation and management, high severity 13 13 $517.66
99282 Emergency department visit for the evaluation and management, low to moderate severity 39 39 $501.84
92504 190 186 $483.65
73562 33 29 $192.82
90670 55 55 $166.33
73610 33 29 $153.90
97530 Therapeutic activities, direct patient contact, each 15 minutes 27 12 $97.55
90674 61 61 $94.97
90732 28 27 $71.17
73110 14 12 $38.42
90656 20 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 200 193 $0.00
64000 18 18 $0.00