Medicaid Provider Spending

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

JAL HOSPITAL DISTRICT

NPI: 1558583005 · JAL, NM 88252 · General Practice Physician · NPI assigned 05/03/2007

$283K
Total Medicaid Paid
5,565
Total Claims
5,151
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTACKETT, LIZA (CREDENTIALING ADMINISTRATOR)
NPI Enumeration Date05/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 616 $22K
2019 736 $28K
2020 549 $20K
2021 1,207 $46K
2022 803 $38K
2023 599 $40K
2024 1,055 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,428 2,258 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,334 1,233 $44K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 94 92 $38K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 313 288 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 319 297 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 226 213 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 64 64 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 106 92 $2K
36415 Collection of venous blood by venipuncture 289 264 $880.58
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $414.72
96127 78 40 $323.60
J1040 Injection, methylprednisolone acetate, 80 mg 41 40 $301.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $197.37
J1885 Injection, ketorolac tromethamine, per 15 mg 107 106 $127.33
J0696 Injection, ceftriaxone sodium, per 250 mg 72 71 $101.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg 70 69 $12.23