Medicaid Provider Spending

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

GLENNS FERRY HEALTH CENTER, INC.

NPI: 1376673137 · GLENNS FERRY, ID 83623 · Federally Qualified Health Center (FQHC) · NPI assigned 03/07/2007

$7.47M
Total Medicaid Paid
103,636
Total Claims
87,491
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJORDAN, AMBER (CEO)
NPI Enumeration Date03/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,802 $676K
2019 10,413 $664K
2020 16,058 $1.19M
2021 16,481 $996K
2022 21,090 $1.44M
2023 14,686 $1.19M
2024 14,106 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 48,069 38,836 $7.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,810 23,852 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,763 7,200 $33K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,266 1,653 $31K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 58 57 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,027 2,011 $6K
0012A 179 170 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 590 588 $5K
0011A 158 158 $3K
0002A 67 67 $3K
0001A 59 59 $2K
0031A 80 78 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 520 479 $2K
90756 233 233 $1K
36415 Collection of venous blood by venipuncture 2,700 2,581 $1K
83037 504 499 $531.51
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,457 1,442 $503.57
0064A 15 13 $440.00
90834 Psychotherapy, 45 minutes with patient 2,763 1,269 $436.94
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 129 129 $369.44
81002 473 353 $68.55
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 97 97 $67.23
90715 19 17 $55.72
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 25 25 $49.89
90472 Immunization administration, each additional vaccine (list separately) 227 227 $48.59
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 544 534 $43.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 24 $32.63
81003 171 126 $2.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 12 12 $2.00
3074F 1,588 1,482 $0.00
91306 14 13 $0.00
91303 78 77 $0.00
3079F 364 358 $0.00
91301 346 305 $0.00
99000 28 28 $0.00
3075F 27 26 $0.00
90686 82 82 $0.00
99406 16 15 $0.00
3080F 13 13 $0.00
3078F 1,187 1,112 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 78 78 $0.00
90791 Psychiatric diagnostic evaluation 12 12 $0.00
91300 158 144 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 260 245 $0.00
90832 Psychotherapy, 30 minutes with patient 1,145 532 $0.00
99442 94 74 $0.00
90670 42 42 $0.00
90648 52 52 $0.00
3077F 12 12 $0.00