Zuni Indian Hospital

Zuni Indian Hospital was paid $11.23M by Medicaid between Jan 2018 and Oct 2024, across 45 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 18% of everything it billed.

33Billing provider infoZUNI INDIAN HOSPITAL
ZUNI, NM 87327

33aNPI1497843734assigned 10/11/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$11.23M

24GClaims46,406

24DCodes billed45

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Acute Care Hospital providers in New Mexico

Rank by total paid#17 of 24

Median peer was paid$20.13M

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	8,599	$713K
2019	6,477	$718K
2020	4,400	$1.07M
2021	12,405	$5.04M
2022	7,614	$2.59M
2023	4,830	$821K
2024incomplete	2,081	$279K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	18%	15,988	12,093	$1.98M
Q3014	Telehealth originating site facility fee	17%	3,840	2,853	$1.95M
0011A		8.8%	1,959	1,947	$991K
0012A		8.7%	1,920	1,903	$974K
0001A		6.4%	1,450	1,439	$724K
0064A		6.4%	1,288	1,261	$715K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	6.3%	5,336	4,702	$712K
0002A		6.3%	1,388	1,382	$705K
0124A		5.8%	1,174	1,167	$652K
0071A		3.1%	657	643	$345K
0054A		2.8%	521	509	$319K
0072A		2.8%	574	569	$317K

33 more codes

0004A		1.6%	359	$179K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.2%	348	$130K
99213	Doctor's office visit, returning patient (routine)	1.1%	5,085	$126K
0154A		<1%	123	$77K
0081A		<1%	99	$60K
99214	Doctor's office visit, returning patient (more involved)	<1%	661	$52K
0121A		<1%	76	$37K
0074A		<1%	61	$35K
0082A		<1%	48	$31K
0083A		<1%	47	$30K
0151A		<1%	30	$20K
0031A		<1%	31	$15K
0051A		<1%	17	$10K
0052A		<1%	15	$10K
38300		<1%	50	$5K
G0008	Administration of influenza virus vaccine	<1%	983	$5K
0003A		<1%	13	$5K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	415	$5K
90694		<1%	264	$5K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	321	$4K
91322		<1%	108	$1K
90653		<1%	282	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	202	$971.66
90662		<1%	126	$737.47
99442		<1%	78	$502.32
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	22	$465.57
90480		<1%	107	$439.12
99050		<1%	13	$390.00
90688		<1%	105	$385.05
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	<1%	90	$225.34
11721		<1%	28	$136.94
90686		<1%	14	$39.71
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	<1%	90	$0.01

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialOTHOLE, JEAN (CHIEF EXECUTIVE OFFICER)