Medicaid Provider Spending

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

UPPER SAN JUAN HEALTH SERVICE DISTRICT

NPI: 1245401561 · PAGOSA SPRINGS, CO 81147 · Critical Access Hospital · NPI assigned 03/14/2008

$1.73M
Total Medicaid Paid
23,487
Total Claims
20,554
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEBB, RHONDA (CEO, CMO)
NPI Enumeration Date03/14/2008

Related Entities

Other providers sharing the same authorized official: WEBB, RHONDA

ProviderCityStateTotal Paid
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $3.65M
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $590K
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $71K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,498 $156K
2019 2,065 $134K
2020 2,172 $133K
2021 4,725 $260K
2022 4,535 $414K
2023 4,309 $337K
2024 3,183 $296K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 4,893 4,339 $851K
99284 Emergency department visit for the evaluation and management, high severity 2,812 2,428 $563K
80053 Comprehensive metabolic panel 4,648 4,020 $78K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 467 446 $51K
99282 Emergency department visit for the evaluation and management, low to moderate severity 350 327 $42K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,977 4,260 $29K
83605 651 578 $19K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 564 521 $15K
91300 376 313 $10K
0002A 191 185 $9K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 44 39 $9K
74177 Computed tomography, abdomen and pelvis; with contrast material 25 24 $8K
96361 Intravenous infusion, hydration; each additional hour 66 64 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 172 168 $7K
0001A 206 194 $6K
36415 Collection of venous blood by venipuncture 1,502 1,280 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 86 83 $5K
96375 Therapeutic injection; each additional sequential IV push 133 117 $4K
81001 455 411 $4K
86140 317 279 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 47 42 $1K
84443 Thyroid stimulating hormone (TSH) 104 87 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 104 94 $1K
71046 Radiologic examination, chest; 2 views 15 13 $778.25
80061 Lipid panel 38 32 $557.05
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14 13 $352.85
84484 28 25 $234.78
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 14 13 $196.21
J2405 Injection, ondansetron hydrochloride, per 1 mg 86 78 $186.34
83690 18 16 $167.68
90832 Psychotherapy, 30 minutes with patient 45 28 $125.00
J7030 Infusion, normal saline solution , 1000 cc 12 12 $93.04
J7120 Ringers lactate infusion, up to 1000 cc 13 12 $45.68
J1885 Injection, ketorolac tromethamine, per 15 mg 14 13 $18.29