Medicaid Provider Spending

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

3720 CHURCH ROCK STREET OPERATIONS LLC

NPI: 1356820419 · GALLUP, NM 87301 · 314000000X

$14K
Total Medicaid Paid
1,767
Total Claims
445
Beneficiaries
5
Codes Billed
2019-02
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 713 $6K
2020 447 $3K
2023 185 $1K
2024 422 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 810 106 $7K
97530 327 70 $3K
Q3014 Telehealth facility fee 422 227 $2K
97112 135 26 $941.45
97140 73 16 $532.83