DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
NPI: 1407039589
· SHIPROCK, NM 87420
· Ambulatory Surgical Clinic/Center
· NPI assigned 12/11/2007
$126K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COMER, FANNESSA
| Provider | City | State | Total Paid |
|---|
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
SHIPROCK |
NM |
$190.58M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
TEECNOSPOS |
AZ |
$12.76M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
BLOOMFIELD |
NM |
$3.52M |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
SANOSTEE |
NM |
$107K |
| DHHS, PHS, NAIHS, SHIPROCK HOSPITAL |
TOADLENA |
NM |
$16K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
147 |
$31K |
| 2019 |
286 |
$27K |
| 2020 |
41 |
$7K |
| 2021 |
109 |
$21K |
| 2022 |
130 |
$30K |
| 2023 |
27 |
$7K |
| 2024 |
12 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
454 |
442 |
$96K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
115 |
112 |
$26K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
14 |
12 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
158 |
$0.00 |