Medicaid Provider Spending

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

GILA RIVER HEALTH CARE CORPORATION

NPI: 1225023179 · SACATON, AZ 85147 · Critical Access Hospital · NPI assigned 09/16/2005

$4.77M
Total Medicaid Paid
109,754
Total Claims
78,925
Beneficiaries
104
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSANTIAGO, ANTHONY (CEO)
NPI Enumeration Date09/16/2005

Related Entities

Other providers sharing the same authorized official: SANTIAGO, ANTHONY

ProviderCityStateTotal Paid
GILA RIVER HEALTH CARE LAVEEN AZ $16.06M
GILA RIVER HEALTH CARE CORPORATION CHANDLER AZ $2.50M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,380 $726K
2019 18,336 $914K
2020 17,296 $1.06M
2021 20,208 $1.15M
2022 14,355 $389K
2023 13,477 $310K
2024 8,702 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47,056 23,020 $3.54M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,036 2,428 $148K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,488 6,305 $110K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,191 1,179 $103K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,289 3,129 $73K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 194 189 $71K
71046 Radiologic examination, chest; 2 views 7,042 7,002 $65K
76801 1,227 1,143 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,725 1,715 $57K
H0031 Mental health assessment, by non-physician 202 195 $47K
99282 Emergency department visit for the evaluation and management, low to moderate severity 600 569 $38K
71045 Radiologic examination, chest; single view 4,537 4,451 $37K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 797 785 $33K
97760 1,239 1,196 $30K
76700 Ultrasound, abdominal, real time with image documentation; complete 728 726 $27K
70450 Computed tomography, head or brain; without contrast material 680 675 $25K
73630 3,190 3,123 $24K
99307 1,791 1,309 $23K
76705 Ultrasound, abdominal, real time with image documentation; limited 775 771 $21K
77067 Screening mammography, bilateral, including computer-aided detection 536 535 $20K
76830 Ultrasound, transvaginal 558 557 $19K
76819 Fetal biophysical profile; without non-stress testing 448 296 $17K
99309 Subsequent nursing facility care, per day, low to moderate complexity 450 388 $17K
99283 Emergency department visit for the evaluation and management, moderate severity 666 627 $16K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 315 314 $15K
0202U Oncology (prostate), multianalyte, gene expression profiling 30 28 $14K
97162 308 308 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,472 1,463 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 145 143 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 213 201 $7K
71275 Computed tomographic angiography, chest, with contrast material 92 91 $7K
97161 125 121 $7K
99284 Emergency department visit for the evaluation and management, high severity 71 65 $6K
73610 671 654 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 470 403 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 323 278 $4K
73564 292 288 $3K
99442 274 261 $3K
99443 113 106 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 37 37 $2K
73130 301 294 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 61 61 $2K
99310 Prolong nursin fac eval 15m 43 37 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 577 564 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 96 96 $1K
73562 153 151 $1K
T1016 Case management, each 15 minutes 26 16 $1K
92250 250 248 $1K
73030 142 138 $1K
93971 63 62 $1K
99308 Subsequent nursing facility care, per day, straightforward 43 36 $1K
99441 173 162 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 58 26 $895.79
73110 79 75 $623.76
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 174 167 $581.53
80053 Comprehensive metabolic panel 1,172 1,108 $495.50
82607 395 388 $426.17
90686 650 647 $421.42
72110 32 32 $388.58
76536 13 13 $348.10
93925 12 12 $340.88
20610 30 26 $311.47
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 48 47 $204.66
90688 147 147 $152.50
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 109 52 $135.20
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,111 1,043 $115.85
80061 Lipid panel 699 693 $114.32
90750 92 92 $112.23
83036 Hemoglobin; glycosylated (A1C) 1,194 1,177 $81.28
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 91 89 $80.25
97116 22 13 $74.95
92134 13 13 $61.92
81001 673 631 $51.42
80050 General health panel 256 252 $42.00
81025 407 385 $34.35
90472 Immunization administration, each additional vaccine (list separately) 66 66 $26.54
82746 129 127 $9.24
87086 Culture, bacterial; quantitative colony count, urine 136 128 $7.15
G0008 Administration of influenza virus vaccine 572 562 $0.00
82043 116 113 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 166 161 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 172 165 $0.00
84443 Thyroid stimulating hormone (TSH) 98 96 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 49 42 $0.00
90694 135 133 $0.00
90656 35 35 $0.00
86592 65 62 $0.00
0134A 45 44 $0.00
90480 68 68 $0.00
87430 25 25 $0.00
86803 12 12 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $0.00
0124A 31 31 $0.00
82570 145 138 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 206 183 $0.00
91322 44 44 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 169 157 $0.00
90662 131 131 $0.00
90687 171 171 $0.00
91320 18 18 $0.00
80074 42 42 $0.00
84439 26 26 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 41 $0.00
90714 25 25 $0.00