Medicaid Provider Spending

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

CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.

NPI: 1578010070 · TOHAJIILEE, NM 87026 · Rural Health Clinic/Center · NPI assigned 09/01/2016

$1.93M
Total Medicaid Paid
6,787
Total Claims
4,933
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLEWIS, BEVERLY (BUSINESS OFFICE)
Parent OrganizationCANONCITO BAND OF NAVAJOS HEALTH CENTER, INC.
NPI Enumeration Date09/01/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,254 $1.31M
2019 728 $55K
2020 1,190 $275K
2021 641 $172K
2022 616 $74K
2023 358 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,704 2,550 $1.34M
Q3014 Telehealth originating site facility fee 764 515 $361K
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 1,199 969 $84K
51900 266 201 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 676 567 $44K
47900 77 44 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 29 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 14 13 $947.98
90688 15 15 $839.33
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 30 18 $460.25
90694 12 12 $61.22