Medicaid Provider Spending

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

PUEBLO OF SAN FELIPE

NPI: 1265511299 · SAN FELIPE, NM 87001 · Multi-Specialty Clinic/Center · NPI assigned 11/02/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code Q3014 with only 2 total codes billed. Highly concentrated billing profile.

$1.30M
Total Medicaid Paid
2,652
Total Claims
1,126
Beneficiaries
2
Codes Billed
2018-08
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGARCIA, BRUCE (PUEBLO OF SAN FELIPE TRIBAL ADMIN)
NPI Enumeration Date11/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $12K
2020 1,428 $648K
2021 934 $478K
2022 247 $150K
2023 15 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 2,624 1,107 $1.29M
42700 28 19 $12K