Medicaid Provider Spending

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

MT GRAHAM REGIONAL MEDICAL CENTER INC

NPI: 1346528759 · SAFFORD, AZ 85546 · Rural Health Clinic/Center · NPI assigned 08/02/2011

$5.92M
Total Medicaid Paid
30,940
Total Claims
26,289
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHANSEN, DIANE (DIRECTOR OUTPATIENT CLINICS)
Parent OrganizationMT GRAHAM REGIONAL MEDICAL CENTER INC
NPI Enumeration Date08/02/2011

Related Entities

Other providers sharing the same authorized official: HANSEN, DIANE

ProviderCityStateTotal Paid
PALOMAR HEALTH ESCONDIDO CA $144.14M
PALOMAR HEALTH POWAY CA $46.68M
PALOMAR HEALTH ESCONDIDO CA $42.20M
PALOMAR HEALTH SAN MARCOS CA $2.84M
PALOMAR HEALTH ESCONDIDO CA $1.20M
PALOMAR HEALTH POWAY CA $528K
SPEECH CENTER OF SOUTHERN ARIZONA TUCSON AZ $281K
PALOMAR HEALTH ESCONDIDO CA $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 843 $106K
2019 1,466 $198K
2020 2,055 $440K
2021 3,005 $596K
2022 5,737 $944K
2023 8,107 $1.72M
2024 9,727 $1.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,983 13,390 $5.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,474 5,561 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,667 4,713 $654.76
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 689 658 $150.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 654 580 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 171 163 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 208 196 $0.00
99215 Prolong outpt/office vis 149 140 $0.00
83037 13 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $0.00
36415 Collection of venous blood by venipuncture 714 676 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 53 49 $0.00
96127 62 51 $0.00
87428 36 32 $0.00
90686 13 13 $0.00
36416 13 13 $0.00