Medicaid Provider Spending

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

DHHS, PHS, NAIHS, SHIPROCK HOSPITAL

NPI: 1477615789 · TEECNOSPOS, AZ 86514 · Community Health Clinic/Center · NPI assigned 12/14/2006

$12.76M
Total Medicaid Paid
32,457
Total Claims
23,989
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOMER, FANNESSA (CEO)
NPI Enumeration Date12/14/2006

Related Entities

Other providers sharing the same authorized official: COMER, FANNESSA

ProviderCityStateTotal Paid
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL SHIPROCK NM $190.58M
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL BLOOMFIELD NM $3.52M
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL SHIPROCK NM $126K
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL SANOSTEE NM $107K
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL TOADLENA NM $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,893 $364K
2019 3,118 $435K
2020 1,666 $302K
2021 5,277 $2.02M
2022 6,723 $3.33M
2023 6,404 $3.20M
2024 5,376 $3.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 21,831 15,902 $10.35M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,822 2,168 $1.39M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,330 1,964 $628K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,225 1,806 $368K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 715 657 $22K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,455 454 $5K
97161 40 40 $946.80
G0008 Administration of influenza virus vaccine 459 454 $120.20
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 120 120 $68.94
90480 53 53 $11.91
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 54 26 $0.00
90686 171 167 $0.00
0064A 17 17 $0.00
90662 109 109 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 28 26 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 28 26 $0.00