Medicaid Provider Spending

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

SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY

NPI: 1538583125 · SCOTTSDALE, AZ 85256 · Home Health Agency · NPI assigned 02/18/2014

$42.91M
Total Medicaid Paid
227,618
Total Claims
180,735
Beneficiaries
207
Codes Billed
2022-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERNANDEZ, FRANCES (RCM MANAGER)
NPI Enumeration Date02/18/2014

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, FRANCES

ProviderCityStateTotal Paid
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY SCOTTSDALE AZ $865K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 60,908 $11.42M
2023 97,485 $17.08M
2024 69,225 $14.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 63,806 39,603 $42.75M
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,269 1,331 $140K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,533 1,256 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,628 12,456 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,245 7,488 $656.60
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 851 673 $211.38
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,195 1,194 $35.23
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 481 479 $35.23
G0490 Face-to-face home health nursing visit by a rural health clinic (rhc) or federally qualified health center (fqhc) in an area with a shortage of home health agencies; (services limited to rn or lpn only) 319 97 $33.69
36415 Collection of venous blood by venipuncture 3,399 3,255 $0.00
83036 Hemoglobin; glycosylated (A1C) 2,814 2,706 $0.00
D1206 Topical application of fluoride varnish 3,370 3,325 $0.00
D0210 Intraoral - complete series of radiographic images 1,553 1,544 $0.00
D0230 Intraoral - periapical each additional radiographic image 3,683 1,446 $0.00
D1330 4,115 3,932 $0.00
90723 342 338 $0.00
D2331 383 279 $0.00
90647 335 332 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,169 1,016 $0.00
82043 1,085 820 $0.00
92250 2,237 2,224 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,079 3,679 $0.00
D1351 Sealant - per tooth 1,718 409 $0.00
99606 437 382 $0.00
D1310 4,005 3,826 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 223 223 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,459 1,317 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 394 233 $0.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 82 50 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 186 184 $0.00
90792 Psychiatric diagnostic evaluation with medical services 82 81 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 496 494 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 267 266 $0.00
D7140 Extraction, erupted tooth or exposed root 2,059 1,290 $0.00
99000 3,308 3,124 $0.00
D0603 854 844 $0.00
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 851 290 $0.00
91309 27 26 $0.00
36416 1,740 1,658 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,212 1,651 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,502 1,466 $0.00
87086 Culture, bacterial; quantitative colony count, urine 260 252 $0.00
91307 44 42 $0.00
80053 Comprehensive metabolic panel 1,485 1,473 $0.00
84443 Thyroid stimulating hormone (TSH) 1,031 1,024 $0.00
91301 25 25 $0.00
D9215 194 169 $0.00
99383 44 44 $0.00
D4342 51 26 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,469 1,459 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 785 695 $0.00
99443 109 105 $0.00
D0120 Periodic oral evaluation - established patient 518 515 $0.00
86780 282 278 $0.00
82962 4,623 3,871 $0.00
81001 274 274 $0.00
96380 18 18 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,367 2,324 $0.00
97802 63 62 $0.00
92587 122 121 $0.00
90656 342 338 $0.00
85018 131 118 $0.00
D0140 Limited oral evaluation - problem focused 3,060 2,863 $0.00
82607 352 343 $0.00
D0470 41 41 $0.00
D0150 Comprehensive oral evaluation - new or established patient 2,258 2,246 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 260 258 $0.00
90651 296 291 $0.00
92551 121 121 $0.00
D4346 96 96 $0.00
82728 23 23 $0.00
D0602 263 262 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 27 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 106 99 $0.00
D1320 533 528 $0.00
90680 183 180 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $0.00
90480 479 478 $0.00
90674 411 408 $0.00
99174 113 112 $0.00
90677 259 258 $0.00
99607 244 222 $0.00
93000 30 28 $0.00
97162 12 12 $0.00
90686 873 872 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 110 109 $0.00
90696 28 27 $0.00
D2330 159 99 $0.00
D0601 88 87 $0.00
90619 65 65 $0.00
D0272 Bitewings - two radiographic images 82 82 $0.00
83550 23 23 $0.00
D2335 145 107 $0.00
92558 12 12 $0.00
87088 190 187 $0.00
99381 15 14 $0.00
0134A 136 134 $0.00
90381 14 13 $0.00
90694 18 18 $0.00
96127 147 146 $0.00
11730 39 37 $0.00
86140 12 12 $0.00
90620 25 25 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 62 58 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 31 31 $0.00
87536 13 13 $0.00
84703 28 27 $0.00
91305 39 39 $0.00
81000 33 33 $0.00
92310 12 12 $0.00
80048 Basic metabolic panel (calcium, ionized) 12 12 $0.00
99205 Prolong outpt/office vis 27 26 $0.00
90739 12 12 $0.00
0094A 27 26 $0.00
V5008 Hearing screening 14 14 $0.00
90670 256 252 $0.00
81003 496 480 $0.00
D4910 837 833 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,354 1,337 $0.00
97161 241 241 $0.00
83655 32 31 $0.00
11721 768 759 $0.00
D0191 1,352 1,341 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 176 174 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,399 1,002 $0.00
D0330 Panoramic radiographic image 2,053 2,036 $0.00
D0190 8,272 7,000 $0.00
99215 Prolong outpt/office vis 1,099 1,050 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 456 443 $0.00
D0270 1,914 1,836 $0.00
82570 1,286 939 $0.00
D0274 Bitewings - four radiographic images 970 966 $0.00
90633 176 176 $0.00
D0180 2,175 2,084 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,030 4,633 $0.00
D1110 Prophylaxis - adult 392 390 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,690 970 $0.00
3210F 12 12 $0.00
91312 45 45 $0.00
11056 88 87 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 509 503 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 697 674 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 267 254 $0.00
92015 Determination of refractive state 2,550 2,528 $0.00
D0220 Intraoral - periapical first radiographic image 3,892 3,700 $0.00
D2940 393 310 $0.00
90461 783 772 $0.00
0124A 45 45 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 282 281 $0.00
90715 518 515 $0.00
81025 300 294 $0.00
92133 431 426 $0.00
80074 556 555 $0.00
D1120 Prophylaxis - child 275 272 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 284 281 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 199 146 $0.00
91300 69 66 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 638 629 $0.00
D4341 1,644 960 $0.00
90791 Psychiatric diagnostic evaluation 209 208 $0.00
92134 886 877 $0.00
80061 Lipid panel 1,180 1,174 $0.00
92083 157 151 $0.00
90832 Psychotherapy, 30 minutes with patient 16 15 $0.00
84702 84 78 $0.00
99173 340 339 $0.00
H0031 Mental health assessment, by non-physician 51 51 $0.00
84466 23 23 $0.00
97803 24 24 $0.00
99442 100 91 $0.00
69210 45 45 $0.00
D0145 Oral evaluation for a patient under three years of age 29 29 $0.00
90472 Immunization administration, each additional vaccine (list separately) 584 572 $0.00
92552 488 487 $0.00
99177 143 142 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 203 202 $0.00
3028F 31 30 $0.00
D1354 421 155 $0.00
76514 69 69 $0.00
91321 30 30 $0.00
91320 123 123 $0.00
D9110 151 145 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 187 184 $0.00
99071 214 212 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 175 174 $0.00
91313 137 135 $0.00
90734 61 61 $0.00
D2394 31 30 $0.00
83540 23 23 $0.00
96160 45 45 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 111 110 $0.00
D0350 27 26 $0.00
D3221 24 24 $0.00
0502F 46 36 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 24 24 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 32 32 $0.00
98960 73 27 $0.00
81002 66 62 $0.00
91322 203 202 $0.00
90750 13 13 $0.00
90710 30 29 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 42 34 $0.00
99347 13 13 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 12 $0.00
90473 14 14 $0.00