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ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
ACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
NPI: 1225103922
· ACOMA, NM 87034
· 261QH0100X
$1.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,500 |
$146K |
| 2019 |
2,348 |
$177K |
| 2020 |
1,581 |
$301K |
| 2021 |
2,194 |
$754K |
| 2022 |
543 |
$239K |
| 2023 |
139 |
$11K |
| 2024 |
14 |
$282.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
5,680 |
3,851 |
$455K |
| Q3014 |
Telehealth facility fee |
511 |
428 |
$241K |
| 0011A |
|
348 |
327 |
$168K |
| 0012A |
|
316 |
305 |
$156K |
| 0001A |
|
311 |
297 |
$154K |
| 0002A |
|
297 |
281 |
$145K |
| 0124A |
|
205 |
204 |
$129K |
| 0064A |
|
90 |
90 |
$51K |
| 0054A |
|
51 |
51 |
$31K |
| 0154A |
|
38 |
38 |
$24K |
| 0004A |
|
43 |
43 |
$22K |
| 99213 |
|
1,111 |
1,042 |
$15K |
| 0072A |
|
24 |
24 |
$12K |
| 0081A |
|
17 |
17 |
$11K |
| 0071A |
|
15 |
15 |
$8K |
| 99050 |
|
144 |
134 |
$5K |
| 99212 |
|
14 |
13 |
$514.44 |
| G0008 |
Admin influenza virus vac |
63 |
63 |
$71.88 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
28 |
28 |
$0.00 |
| 83036 |
|
13 |
12 |
$0.00 |