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
13,322
Beneficiary Records
Provider Details
| Authorized Official | AGBOKE, SURAJ (BUSINESS OFIICE MANAGER) |
| Parent Organization | KEWA PUEBLO HEALTH CORPORATION |
| NPI Enumeration Date | 10/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Bene. Records | Total 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 |