Hospital
San Carlos Apache Healthcare Corporation
San Carlos Apache Healthcare Corporation was paid $4.48M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 77% of everything it billed.
33Billing provider infoSAN CARLOS APACHE HEALTHCARE CORPORATION
PERIDOT, AZ 85542
PERIDOT, AZ 85542
33aNPI1265813075assigned 06/17/2015
33bProvider typeRural Acute Care Hospital
28Total paid$4.48M
24GClaims53,333
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Acute Care Hospital providers in Arizona
Rank by total paid#4 of 5
Median peer was paid$23.19M
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,416 | $357K | |
| 2019 | 7,343 | $460K | |
| 2020 | 10,892 | $898K | |
| 2021 | 7,824 | $548K | |
| 2022 | 7,263 | $653K | |
| 2023 | 7,960 | $814K | |
| 2024incomplete | 6,635 | $751K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 77% | 33,970 | 15,969 | $3.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 4,200 | 3,831 | $279K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 3.9% | 279 | 279 | $173K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 2,562 | 1,231 | $140K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 1,007 | 984 | $104K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 142 | 127 | $61K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 1,089 | 1,061 | $60K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,179 | 1,679 | $52K |
| 71045 | Radiologic examination, chest; single view | <1% | 4,702 | 4,597 | $40K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 391 | 381 | $32K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 423 | 415 | $15K |
| 99223 | Prolong inpt eval add15 m | <1% | 89 | 86 | $15K |
28 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 157 | $13K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 88 | $7K |
| 99283 | Emergency room visit (moderate) | <1% | 338 | $6K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 73 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 115 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 499 | $4K |
| 99218 | <1% | 70 | $4K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 13 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 122 | $3K |
| 99217 | <1% | 45 | $2K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 30 | $2K |
| 99347 | <1% | 30 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $773.06 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 87 | $723.09 |
| 73562 | <1% | 92 | $698.43 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 169 | $616.18 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $536.76 |
| 93307 | <1% | 12 | $471.03 | |
| 99224 | <1% | 20 | $437.55 | |
| 90480 | <1% | 38 | $277.29 | |
| 73630 | <1% | 32 | $233.83 | |
| 73610 | <1% | 30 | $219.42 | |
| 73110 | <1% | 20 | $138.35 | |
| 11721 | <1% | 26 | $123.76 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $121.32 |
| 90686 | <1% | 16 | $21.44 | |
| 90656 | <1% | 108 | $0.01 | |
| 91321 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBEGAN, VICTORIA (CEO)
| Provider | Location | Paid |
|---|---|---|
| San Carlos Apache Healthcare Corporation | Bylas, AZ | $366K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.