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DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
NPI: 1225002322
· GALLUP, NM 87301
· 311Z00000X
$32.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q3014 |
Telehealth facility fee |
32,407 |
28,427 |
$16.35M |
| 99214 |
|
65,868 |
45,434 |
$6.52M |
| 0002A |
|
2,599 |
2,581 |
$1.31M |
| 0001A |
|
2,372 |
2,358 |
$1.19M |
| 87635 |
|
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 |
|
4,764 |
4,163 |
$125K |
| 0082A |
|
149 |
148 |
$95K |
| G0463 |
Hospital outpt clinic visit |
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 |
Hopd covid-19 spec collect |
86 |
68 |
$53K |
| 38300 |
|
304 |
228 |
$53K |
| 0031A |
|
104 |
101 |
$51K |
| 99239 |
|
675 |
663 |
$51K |
| 0074A |
|
71 |
70 |
$44K |
| 40500 |
|
129 |
94 |
$43K |
| 0081A |
|
66 |
66 |
$42K |
| 51900 |
|
78 |
67 |
$38K |
| 88305 |
|
885 |
832 |
$38K |
| 0083A |
|
38 |
38 |
$24K |
| 99232 |
|
323 |
165 |
$20K |
| 93306 |
|
960 |
946 |
$20K |
| 99222 |
|
184 |
184 |
$19K |
| 90471 |
|
39 |
39 |
$19K |
| 99212 |
|
1,153 |
973 |
$19K |
| 54100 |
|
150 |
118 |
$18K |
| 97110 |
|
1,731 |
763 |
$18K |
| G0008 |
Admin influenza virus vac |
2,387 |
2,375 |
$17K |
| 88304 |
|
921 |
892 |
$13K |
| 71045 |
|
2,502 |
2,225 |
$13K |
| 59409 |
|
12 |
12 |
$12K |
| 45500 |
|
34 |
25 |
$11K |
| 42700 |
|
84 |
65 |
$11K |
| 71046 |
|
1,883 |
1,830 |
$11K |
| 0173A |
|
15 |
15 |
$10K |
| 0174A |
|
13 |
12 |
$8K |
| 99238 |
|
80 |
78 |
$6K |
| 77067 |
|
159 |
154 |
$6K |
| 99283 |
|
360 |
345 |
$5K |
| 99202 |
|
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 |
|
49 |
49 |
$2K |
| 76705 |
|
102 |
98 |
$2K |
| 73630 |
|
189 |
167 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 92014 |
|
45 |
44 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 90677 |
|
142 |
142 |
$1K |
| 91322 |
|
95 |
95 |
$963.37 |
| 99309 |
|
32 |
30 |
$794.97 |
| G0009 |
Admin pneumococcal vaccine |
433 |
432 |
$776.22 |
| 90662 |
|
303 |
303 |
$769.81 |
| 88307 |
|
12 |
12 |
$766.28 |
| G8978 |
Mobility current status |
200 |
193 |
$738.21 |
| 90694 |
|
256 |
256 |
$727.07 |
| 97164 |
|
41 |
41 |
$695.98 |
| 70450 |
|
37 |
37 |
$690.29 |
| 99284 |
|
13 |
13 |
$517.66 |
| 99282 |
|
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 |
|
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 goal status |
200 |
193 |
$0.00 |
| 64000 |
|
18 |
18 |
$0.00 |