Medicaid Provider Spending

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

GILA REGIONAL MEDICAL CENTER

NPI: 1336220839 · SILVER CITY, NM 88061 · General Acute Care Hospital · NPI assigned 10/18/2006

$33.33M
Total Medicaid Paid
498,911
Total Claims
392,120
Beneficiaries
213
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITAKER, ROBERT (CEO)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 85,127 $3.40M
2019 68,771 $3.08M
2020 61,371 $3.18M
2021 56,529 $3.99M
2022 70,375 $6.13M
2023 90,777 $7.58M
2024 65,961 $5.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 14,802 13,272 $3.92M
99283 Emergency department visit for the evaluation and management, moderate severity 16,462 15,283 $3.66M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,193 2,907 $2.07M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 7,058 5,616 $1.80M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,462 3,171 $1.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,765 7,282 $1.24M
70450 Computed tomography, head or brain; without contrast material 3,392 3,027 $1.12M
A0425 Ground mileage, per statute mile 12,314 8,950 $1.10M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 3,626 2,880 $975K
80053 Comprehensive metabolic panel 30,371 25,524 $895K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,412 3,300 $890K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,222 8,614 $822K
G0378 Hospital observation service, per hour 1,261 1,077 $778K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6,189 4,646 $703K
96375 Therapeutic injection; each additional sequential IV push 10,272 8,148 $694K
71045 Radiologic examination, chest; single view 7,906 6,881 $585K
96361 Intravenous infusion, hydration; each additional hour 9,091 7,626 $575K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,227 1,979 $510K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,137 8,205 $497K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 909 828 $478K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,768 2,719 $441K
74176 Computed tomography, abdomen and pelvis; without contrast material 925 855 $423K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,436 25,924 $422K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,069 1,469 $329K
77067 Screening mammography, bilateral, including computer-aided detection 1,306 1,297 $302K
71275 Computed tomographic angiography, chest, with contrast material 458 434 $291K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 560 524 $273K
72125 Computed tomography, cervical spine; without contrast material 654 590 $262K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,778 4,815 $261K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,579 2,425 $246K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 372 357 $246K
71046 Radiologic examination, chest; 2 views 2,868 2,650 $211K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,629 865 $209K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,352 1,259 $201K
36415 Collection of venous blood by venipuncture 42,698 32,581 $193K
80306 4,997 4,035 $166K
84484 6,779 5,239 $159K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 1,280 1,075 $153K
J8499 Prescription drug, oral, non chemotherapeutic, nos 25,285 12,578 $153K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,461 2,986 $153K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,238 1,281 $140K
71260 Computed tomography, thorax, diagnostic; with contrast material 293 279 $127K
J3490 Unclassified drugs 15,026 7,092 $122K
88313 2,331 2,215 $118K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,484 1,381 $110K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,726 1,637 $102K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 254 248 $93K
73630 750 695 $85K
83690 5,262 4,584 $85K
73610 585 530 $83K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,245 643 $76K
87086 Culture, bacterial; quantitative colony count, urine 4,917 4,370 $71K
73130 520 460 $70K
86900 1,571 1,422 $69K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 213 151 $67K
83605 4,931 4,019 $65K
81001 7,202 6,403 $64K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 185 164 $61K
80048 Basic metabolic panel (calcium, ionized) 2,756 2,236 $58K
77063 Screening digital breast tomosynthesis, bilateral 457 417 $57K
J7050 Infusion, normal saline solution, 250 cc 2,313 1,417 $56K
84443 Thyroid stimulating hormone (TSH) 2,659 2,511 $55K
84703 3,220 3,015 $55K
83880 1,922 1,732 $54K
A4649 Surgical supply; miscellaneous 1,800 1,586 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,144 2,088 $50K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,090 2,751 $46K
73030 326 291 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,129 1,598 $44K
71250 122 100 $43K
87040 1,987 1,186 $43K
85379 1,378 1,292 $42K
96376 2,131 1,564 $38K
85027 3,444 2,922 $37K
J7030 Infusion, normal saline solution , 1000 cc 9,104 6,208 $37K
J2704 Injection, propofol, 10 mg 5,019 3,562 $35K
84702 1,686 1,441 $35K
83735 2,692 2,183 $35K
36591 430 233 $31K
97113 298 112 $30K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 24 $29K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 206 77 $29K
J7120 Ringers lactate infusion, up to 1000 cc 6,901 5,217 $29K
96367 651 576 $29K
73560 333 314 $28K
59025 Fetal non-stress test 327 229 $28K
85610 3,819 3,312 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 610 588 $27K
87081 1,856 1,814 $25K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,393 3,185 $25K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,735 5,841 $23K
76700 Ultrasound, abdominal, real time with image documentation; complete 122 113 $23K
J3010 Injection, fentanyl citrate, 0.1 mg 5,472 3,182 $23K
82948 3,659 2,085 $22K
73110 199 185 $22K
86850 1,390 1,269 $21K
76642 137 135 $21K
81003 3,999 3,611 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 141 136 $20K
76536 119 98 $20K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 3,623 3,060 $19K
88342 448 420 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 283 275 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 488 479 $17K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,471 4,666 $17K
88312 205 203 $16K
81025 1,230 1,182 $16K
97162 212 207 $15K
80143 370 346 $15K
93971 122 118 $12K
80061 Lipid panel 698 685 $12K
86901 1,576 1,422 $12K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 25 25 $11K
87486 254 248 $10K
J0690 Injection, cefazolin sodium, 500 mg 1,598 1,349 $10K
90715 374 369 $10K
72100 101 101 $9K
85730 989 915 $9K
83036 Hemoglobin; glycosylated (A1C) 949 931 $9K
80179 338 316 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,143 1,799 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,720 1,507 $8K
J2270 Injection, morphine sulfate, up to 10 mg 2,804 1,741 $8K
87581 254 248 $8K
87186 440 403 $8K
82805 140 117 $7K
12001 37 36 $7K
62323 33 27 $7K
70486 14 13 $7K
84439 458 439 $6K
76770 31 30 $6K
80299 250 109 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 137 133 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,357 1,087 $6K
94760 788 471 $6K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1,871 937 $5K
76641 25 24 $5K
J2060 Injection, lorazepam, 2 mg 1,746 1,199 $5K
80081 68 67 $5K
85652 686 632 $5K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,959 1,378 $5K
86141 249 231 $5K
76830 Ultrasound, transvaginal 27 26 $5K
94799 28 28 $4K
74022 65 60 $4K
87070 312 264 $4K
82550 302 254 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 122 114 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 122 114 $4K
73562 28 12 $4K
36600 116 101 $4K
J1170 Injection, hydromorphone, up to 4 mg 1,115 637 $3K
51702 45 38 $3K
74019 12 12 $3K
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 33 30 $3K
87807 166 164 $2K
73090 14 12 $2K
J0780 Injection, prochlorperazine, up to 10 mg 482 450 $2K
96523 64 52 $2K
J3480 Injection, potassium chloride, per 2 meq 286 152 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,424 2,957 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 426 361 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 60 24 $2K
J2360 Injection, orphenadrine citrate, up to 60 mg 176 171 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 67 63 $2K
74018 36 33 $2K
73502 26 25 $1K
83540 122 118 $1K
77065 Tomosynthesis, mammo 13 12 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 208 173 $1K
83550 70 68 $1K
82728 42 42 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 39 39 $1K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 28 12 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 193 167 $905.92
87481 20 18 $787.24
J0171 Injection, adrenalin, epinephrine, 0.1 mg 29 25 $735.55
J9303 Injection, panitumumab, 10 mg 19 14 $679.52
86592 99 96 $651.53
87077 68 63 $647.88
88302 31 29 $638.75
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 42 42 $612.40
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 102 95 $525.76
J0561 Injection, penicillin g benzathine, 100,000 units 15 15 $522.19
84550 39 28 $510.55
A9575 Injection, gadoterate meglumine, 0.1 ml 50 44 $506.60
J3475 Injection, magnesium sulfate, per 500 mg 135 88 $478.55
82565 98 91 $439.06
84100 38 25 $417.79
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 18 18 $393.58
86140 39 38 $345.28
97161 12 12 $335.26
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 28 28 $295.09
87660 16 16 $276.36
87510 16 16 $276.36
87480 16 16 $274.91
82947 43 43 $245.73
J2919 Injection, methylprednisolone sodium succinate, 5 mg 42 30 $243.64
J2550 Injection, promethazine hcl, up to 50 mg 233 181 $219.40
A9270 Non-covered item or service 47 31 $155.86
83615 12 12 $155.58
J1815 Injection, insulin, per 5 units 88 43 $152.05
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 89 42 $129.44
C1758 Catheter, ureteral 15 14 $103.03
J1630 Injection, haloperidol, up to 5 mg 18 12 $98.73
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 172 148 $84.16
85008 14 12 $71.83
87147 14 13 $68.88
J2795 Injection, ropivacaine hydrochloride, 1 mg 16 13 $55.54
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 43 40 $38.96
J8540 Dexamethasone, oral, 0.25 mg 12 12 $32.31
S5001 Prescription drug, brand name 18 12 $17.03
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $0.00