Gallup Community Health

Gallup Community Health was paid $964K by Medicaid between Aug 2022 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoGALLUP COMMUNITY HEALTH
GALLUP, NM 87301

33aNPI1336807254assigned 12/08/2021

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$964K

24GClaims10,139

24DCodes billed25

24AFirst – last monthAug 2022 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in New Mexico

Rank by total paid#12 of 42

Median peer was paid$270K

This provider vs. median3.6×

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
2022	259	$23K
2023	3,789	$330K
2024incomplete	6,091	$611K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	55%	4,477	3,930	$532K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	2,633	2,283	$227K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.8%	488	469	$75K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.5%	383	381	$43K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.3%	249	228	$42K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.2%	514	497	$12K
99401		<1%	314	308	$6K
90472	Immunization administration, each additional vaccine (list separately)	<1%	147	145	$5K
92552		<1%	87	84	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	29	29	$3K
99384		<1%	13	13	$2K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	27	24	$2K

13 more codes

91322		<1%	13	$2K
36415	Collection of venous blood by venipuncture	<1%	323	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	114	$2K
87428		<1%	25	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	13	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	30	$1K
90686		<1%	37	$815.77
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	45	$678.55
99173		<1%	96	$572.56
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	15	$284.79
96127		<1%	43	$206.47
81025		<1%	12	$88.49
V5008	Hearing screening	<1%	12	$56.67

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 officialWANGLER, VALORY (CEO)