Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › FORT DEFIANCE › THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION

THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION

NPI: 1477876639 · FORT DEFIANCE, AZ 86504 · General Acute Care Hospital · NPI assigned 03/02/2010

$13.04M
Total Medicaid Paid
152,314
Total Claims
131,044
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialYOUNG, NAOMI (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date03/02/2010

Related Entities

Other providers sharing the same authorized official: YOUNG, NAOMI

ProviderCityStateTotal Paid
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION FORT DEFIANCE AZ $103K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,909 $1.34M
2019 22,614 $1.50M
2020 20,872 $1.61M
2021 26,494 $2.82M
2022 25,802 $2.49M
2023 23,167 $2.08M
2024 11,456 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,612 26,076 $3.92M
Q3014 Telehealth originating site facility fee 4,181 3,298 $2.30M
99283 Emergency department visit for the evaluation and management, moderate severity 32,200 31,113 $2.06M
99282 Emergency department visit for the evaluation and management, low to moderate severity 28,688 27,849 $1.31M
51900 696 524 $391K
99238 Hospital discharge day management, 30 minutes or less 4,271 4,193 $226K
0002A 450 444 $212K
97602 2,181 605 $196K
42700 479 380 $195K
0001A 358 353 $176K
0003A 363 360 $176K
45500 440 325 $169K
0071A 250 246 $132K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,239 6,733 $121K
S0215 Non-emergency transportation; mileage, per mile 631 495 $119K
99284 Emergency department visit for the evaluation and management, high severity 1,211 1,174 $118K
0013A 237 236 $116K
0072A 213 212 $114K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,509 1,475 $110K
99222 Initial hospital care, per day, moderate complexity 1,010 994 $90K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,222 1,205 $85K
90832 Psychotherapy, 30 minutes with patient 177 145 $77K
99281 Emergency department visit for the evaluation and management, self-limited or minor 821 778 $52K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,925 1,050 $52K
65400 127 110 $47K
70450 Computed tomography, head or brain; without contrast material 1,410 1,388 $42K
71046 Radiologic examination, chest; 2 views 5,131 5,059 $42K
99232 Subsequent hospital care, per day, moderate complexity 893 427 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,338 1,298 $33K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 129 110 $30K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,721 1,205 $26K
0012A 48 48 $24K
0124A 65 60 $24K
90863 48 46 $21K
0011A 31 31 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 213 213 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 270 267 $12K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 129 120 $12K
99173 26 26 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,550 1,410 $11K
77067 Screening mammography, bilateral, including computer-aided detection 311 311 $11K
71045 Radiologic examination, chest; single view 1,493 1,442 $9K
0134A 15 14 $6K
73630 838 764 $6K
T1016 Case management, each 15 minutes 292 272 $6K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 631 495 $6K
99443 324 317 $5K
99442 443 420 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 34 34 $5K
73562 694 602 $5K
72125 Computed tomography, cervical spine; without contrast material 117 115 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 24 $4K
G0008 Administration of influenza virus vaccine 796 777 $4K
90853 Group psychotherapy (other than of a multiple-family group) 176 54 $3K
73610 391 366 $3K
73030 463 424 $3K
99215 Prolong outpt/office vis 84 83 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 111 110 $3K
73130 366 337 $3K
90670 29 28 $3K
92557 27 27 $2K
76801 47 45 $2K
99221 27 27 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 23 21 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 306 191 $2K
77063 Screening digital breast tomosynthesis, bilateral 203 203 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $1K
73110 182 168 $1K
72100 140 140 $1K
99460 12 12 $894.86
71275 Computed tomographic angiography, chest, with contrast material 12 12 $800.09
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 13 13 $775.56
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $639.56
99462 19 12 $565.63
99441 77 76 $520.63
76700 Ultrasound, abdominal, real time with image documentation; complete 14 14 $476.27
76830 Ultrasound, transvaginal 15 15 $416.39
71250 12 12 $382.84
76641 12 12 $367.16
73080 53 50 $348.21
90688 289 281 $295.34
73502 47 43 $292.60
93971 16 15 $252.60
11721 26 26 $110.24
73564 13 12 $107.04
73090 15 13 $100.32
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 35 $84.62
73140 13 13 $71.42
97116 28 12 $66.78
90686 209 200 $38.52
90480 43 43 $20.66
97530 Therapeutic activities, direct patient contact, each 15 minutes 17 13 $19.89
G0009 Administration of pneumococcal vaccine 126 122 $8.40
71900 13 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 30 24 $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 30 24 $0.00
G0127 Trimming of dystrophic nails, any number 12 12 $0.00