DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
NPI: 1477615789
· TEECNOSPOS, AZ 86514
· 261QC1500X
$12.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
21,831 |
15,902 |
$10.35M |
| 99211 |
|
2,822 |
2,168 |
$1.39M |
| 99213 |
|
2,330 |
1,964 |
$628K |
| G0463 |
Hospital outpt clinic visit |
2,225 |
1,806 |
$368K |
| 99214 |
|
715 |
657 |
$22K |
| 97110 |
|
1,455 |
454 |
$5K |
| 97161 |
|
40 |
40 |
$946.80 |
| G0008 |
Admin influenza virus vac |
459 |
454 |
$120.20 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
120 |
120 |
$68.94 |
| 90480 |
|
53 |
53 |
$11.91 |
| 97140 |
|
54 |
26 |
$0.00 |
| 90686 |
|
171 |
167 |
$0.00 |
| 0064A |
|
17 |
17 |
$0.00 |
| 90662 |
|
109 |
109 |
$0.00 |
| G8979 |
Mobility goal status |
28 |
26 |
$0.00 |
| G8978 |
Mobility current status |
28 |
26 |
$0.00 |