PUEBLO OF JEMEZ
NPI: 1417082215
· JEMEZ PUEBLO, NM 87024
· Clinic/Center
· NPI assigned 02/22/2007
$1.95M
Total Medicaid Paid
Provider Details
| Authorized Official | ROSALES, NOHEMY (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 02/22/2007 |
Related Entities
Other providers sharing the same authorized official: ROSALES, NOHEMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
850 |
$40K |
| 2019 |
631 |
$36K |
| 2020 |
967 |
$342K |
| 2021 |
1,139 |
$552K |
| 2022 |
955 |
$528K |
| 2023 |
353 |
$201K |
| 2024 |
348 |
$247K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q3014 |
Telehealth originating site facility fee |
2,307 |
1,549 |
$1.31M |
| 0054A |
|
148 |
148 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
146 |
$91K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,926 |
485 |
$87K |
| 0072A |
|
144 |
143 |
$80K |
| 0064A |
|
141 |
141 |
$75K |
| 0071A |
|
117 |
116 |
$61K |
| 0124A |
|
96 |
95 |
$60K |
| 0004A |
|
64 |
63 |
$32K |
| 0082A |
|
32 |
32 |
$20K |
| 0154A |
|
29 |
29 |
$19K |
| 0081A |
|
14 |
14 |
$9K |
| 0134A |
|
13 |
13 |
$8K |
| 0013A |
|
14 |
14 |
$7K |