Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › SAFFORD › MT GRAHAM REGIONAL MEDICAL CENTER INC

MT GRAHAM REGIONAL MEDICAL CENTER INC

NPI: 1275588345 · SAFFORD, AZ 85546 · Rural Acute Care Hospital · NPI assigned 05/24/2006

$27.72M
Total Medicaid Paid
609,976
Total Claims
481,266
Beneficiaries
231
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKNOX, ROLAND (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: KNOX, ROLAND

ProviderCityStateTotal Paid
NORTHERN COCHISE COMMUNITY HOSPITAL INC WILLCOX AZ $8.39M
SULPHUR SPRINGS MEDICAL CENTER WILLCOX AZ $1.29M
NORTHERN COCHISE COMMUNITY HOSPITAL WILLCOX AZ $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87,374 $3.01M
2019 82,698 $3.55M
2020 71,795 $2.87M
2021 84,296 $3.83M
2022 99,405 $5.28M
2023 98,901 $4.82M
2024 85,507 $4.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99282 Emergency department visit for the evaluation and management, low to moderate severity 37,761 34,045 $4.90M
99283 Emergency department visit for the evaluation and management, moderate severity 34,460 31,746 $4.78M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,792 5,307 $4.41M
99284 Emergency department visit for the evaluation and management, high severity 15,415 13,489 $3.00M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,317 4,524 $1.39M
70450 Computed tomography, head or brain; without contrast material 4,525 4,123 $1.38M
G0378 Hospital observation service, per hour 8,939 4,363 $1.02M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,950 1,827 $850K
71275 Computed tomographic angiography, chest, with contrast material 978 914 $728K
96361 Intravenous infusion, hydration; each additional hour 11,651 7,591 $562K
59025 Fetal non-stress test 2,361 1,564 $504K
74176 Computed tomography, abdomen and pelvis; without contrast material 975 919 $458K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 19,889 6,284 $407K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 408 328 $286K
97162 3,099 2,978 $268K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,291 2,155 $254K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,020 984 $216K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,348 5,641 $179K
72125 Computed tomography, cervical spine; without contrast material 820 739 $168K
71046 Radiologic examination, chest; 2 views 7,617 7,127 $159K
77067 Screening mammography, bilateral, including computer-aided detection 2,287 2,239 $129K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,810 1,988 $112K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,572 1,496 $85K
80053 Comprehensive metabolic panel 27,997 21,683 $80K
73562 1,915 1,837 $67K
73130 1,741 1,667 $66K
71260 Computed tomography, thorax, diagnostic; with contrast material 624 576 $62K
76700 Ultrasound, abdominal, real time with image documentation; complete 390 374 $62K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,031 2,613 $62K
73630 2,191 2,069 $57K
93971 354 330 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,080 1,042 $52K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 452 357 $47K
76819 Fetal biophysical profile; without non-stress testing 562 253 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,354 3,954 $39K
73030 1,235 1,163 $37K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,646 9,082 $37K
73610 1,592 1,503 $36K
72110 287 282 $35K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 438 163 $34K
97535 Self-care/home management training, each 15 minutes 368 143 $34K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 54 50 $28K
72100 275 265 $27K
73110 1,174 1,106 $26K
76801 97 88 $26K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,748 1,872 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,516 6,437 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 216 209 $23K
96375 Therapeutic injection; each additional sequential IV push 10,205 8,022 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 98 96 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 752 720 $22K
T1015 Clinic visit/encounter, all-inclusive 156 63 $21K
76642 426 408 $19K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 74 73 $18K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 255 247 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 461 371 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes 642 218 $12K
76830 Ultrasound, transvaginal 757 729 $11K
10060 134 130 $11K
74018 248 220 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 108 106 $10K
95811 14 13 $9K
84443 Thyroid stimulating hormone (TSH) 2,330 2,187 $9K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,205 9,662 $8K
73502 337 305 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 53 53 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,102 1,817 $7K
73080 201 193 $6K
86920 47 43 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 288 205 $6K
G0390 Trauma response team associated with hospital critical care service 38 24 $6K
71045 Radiologic examination, chest; single view 7,304 6,454 $5K
96376 4,223 2,428 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,748 23,316 $5K
72131 12 12 $5K
97161 209 182 $4K
70486 55 52 $4K
87510 1,924 1,717 $4K
96367 1,938 1,477 $4K
86850 1,853 1,671 $4K
76775 55 49 $4K
84702 414 348 $3K
C1788 Port, indwelling (implantable) 43 39 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,121 2,026 $3K
80329 2,394 1,564 $3K
J1756 Injection, iron sucrose, 1 mg 32 12 $2K
80048 Basic metabolic panel (calcium, ionized) 4,298 3,167 $2K
72141 13 13 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 18 18 $2K
J7030 Infusion, normal saline solution , 1000 cc 17,838 11,751 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 29 27 $2K
94762 6,282 5,267 $2K
87081 2,200 2,129 $2K
J7050 Infusion, normal saline solution, 250 cc 9,293 4,423 $2K
73090 88 82 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 704 332 $2K
72050 12 12 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,605 7,796 $2K
77080 14 13 $2K
87400 3,379 3,240 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,144 1,083 $1K
87186 2,821 2,609 $1K
36415 Collection of venous blood by venipuncture 40,436 30,015 $1K
87480 1,925 1,718 $1K
71250 12 12 $1K
83880 1,811 1,548 $1K
87088 5,221 4,782 $904.19
81025 5,424 5,063 $868.38
12011 16 13 $866.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 25 25 $862.92
76857 17 17 $804.37
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 541 241 $773.55
85027 2,231 1,798 $773.36
80061 Lipid panel 870 829 $760.42
76981 58 57 $741.66
87420 123 122 $714.66
82803 820 636 $701.20
73590 45 41 $494.12
82948 4,782 1,763 $448.78
83036 Hemoglobin; glycosylated (A1C) 1,245 1,200 $448.08
87653 12 12 $413.58
81003 19,582 16,867 $405.48
74019 17 12 $403.90
97802 13 13 $400.05
97803 12 12 $396.25
83735 3,526 2,236 $374.99
85610 4,542 3,899 $354.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,138 3,591 $311.34
84703 2,337 2,233 $306.06
82607 188 184 $278.92
84484 7,316 5,504 $275.81
0202U Oncology (prostate), multianalyte, gene expression profiling 93 84 $273.26
90715 871 845 $257.42
85730 3,438 3,016 $230.33
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 921 856 $227.45
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,825 1,742 $215.81
97116 104 50 $208.85
82728 82 82 $187.49
82962 1,455 779 $180.73
87040 2,998 1,761 $179.60
83690 5,087 4,459 $175.38
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,886 1,821 $175.01
84466 117 117 $173.75
90686 12 12 $170.64
J2405 Injection, ondansetron hydrochloride, per 1 mg 11,470 8,359 $156.05
J7120 Ringers lactate infusion, up to 1000 cc 3,186 2,096 $155.38
87070 553 512 $148.14
87077 2,854 2,639 $130.33
88304 178 173 $103.43
A9585 Injection, gadobutrol, 0.1 ml 217 208 $84.53
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 886 533 $83.20
J1885 Injection, ketorolac tromethamine, per 15 mg 7,770 6,838 $81.38
86900 2,103 1,893 $76.03
J1815 Injection, insulin, per 5 units 31 12 $66.99
85379 88 79 $61.50
J0696 Injection, ceftriaxone sodium, per 250 mg 3,400 2,379 $60.36
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 43 43 $58.67
86140 624 498 $52.34
83605 3,332 2,620 $47.46
82746 43 42 $45.88
J0131 Injection, acetaminophen, not otherwise specified,10 mg 5,198 4,229 $43.71
86592 126 125 $38.02
J2270 Injection, morphine sulfate, up to 10 mg 4,237 2,577 $33.69
82043 102 100 $30.44
87660 1,925 1,718 $28.34
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,491 1,226 $21.33
85652 579 509 $20.74
82550 868 740 $19.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,432 1,241 $17.84
80320 2,697 2,447 $17.04
82248 18 16 $14.34
J1170 Injection, hydromorphone, up to 4 mg 371 219 $10.00
84100 44 31 $8.56
82272 13 12 $7.33
86901 2,103 1,893 $5.48
84156 42 38 $4.04
J2765 Injection, metoclopramide hcl, up to 10 mg 1,333 1,152 $3.24
J3010 Injection, fentanyl citrate, 0.1 mg 5,546 3,849 $0.99
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 315 262 $0.03
J2250 Injection, midazolam hydrochloride, per 1 mg 3,019 2,657 $0.00
77063 Screening digital breast tomosynthesis, bilateral 2,235 2,189 $0.00
94760 1,392 743 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 1,300 1,218 $0.00
J0690 Injection, cefazolin sodium, 500 mg 2,334 1,762 $0.00
99156 315 299 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 351 263 $0.00
J3490 Unclassified drugs 1,243 1,098 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 675 356 $0.00
J2060 Injection, lorazepam, 2 mg 1,963 1,319 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 49 49 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,712 1,502 $0.00
A4217 Sterile water/saline, 500 ml 90 83 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 772 738 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 627 479 $0.00
88342 278 261 $0.00
J1940 Injection, furosemide, up to 20 mg 23 12 $0.00
12001 164 152 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 60 53 $0.00
J3480 Injection, potassium chloride, per 2 meq 201 107 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 586 313 $0.00
91301 12 12 $0.00
83615 65 58 $0.00
87340 67 67 $0.00
88341 30 25 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 26 25 $0.00
97014 72 41 $0.00
J1790 Injection, droperidol, up to 5 mg 18 14 $0.00
86762 13 13 $0.00
G0379 Direct admission of patient for hospital observation care 16 14 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 13 13 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 400 283 $0.00
84145 26 24 $0.00
S0028 Injection, famotidine, 20 mg 341 239 $0.00
0502F 1,115 885 $0.00
84439 532 513 $0.00
83540 132 132 $0.00
J3370 Injection, vancomycin hcl, 500 mg 339 148 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 267 168 $0.00
86787 25 25 $0.00
84460 17 15 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 158 80 $0.00
82570 259 240 $0.00
82010 15 13 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 41 25 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 387 352 $0.00
85007 14 13 $0.00
J1644 Injection, heparin sodium, per 1000 units 115 43 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 15 15 $0.00
94664 16 12 $0.00
82140 16 12 $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 17 16 $0.00