Medicaid Provider Spending

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

NPI: 1336659077 · SANTO DOMINGO PUEBLO, NM 87052 · Community/Behavioral Health Agency · NPI assigned 10/09/2017

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

100% of spending on code G9001 with only 3 total codes billed. Highly concentrated billing profile.

$4.88M
Total Medicaid Paid
13,888
Total Claims
13,322
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAGBOKE, SURAJ (BUSINESS OFIICE MANAGER)
Parent OrganizationKEWA PUEBLO HEALTH CORPORATION
NPI Enumeration Date10/09/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,118 $533K
2019 2,528 $898K
2020 2,665 $909K
2021 3,428 $1.13M
2022 1,847 $609K
2023 1,423 $495K
2024 879 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9001 Coordinated care fee, initial rate 7,034 6,786 $4.87M
T1016 Case management, each 15 minutes 4,720 4,446 $7K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 2,134 2,090 $0.00