Home ›
NM ›
CLOVIS ›
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
NPI: 1578639662
· CLOVIS, NM 88101
· 261QR1300X
$3.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
205 |
$26K |
| 2020 |
1,809 |
$279K |
| 2021 |
6,392 |
$552K |
| 2022 |
13,873 |
$996K |
| 2023 |
11,206 |
$827K |
| 2024 |
10,081 |
$735K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
16,748 |
14,557 |
$3.21M |
| 99214 |
|
6,739 |
6,211 |
$66K |
| 99213 |
|
7,153 |
6,551 |
$52K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,020 |
1,002 |
$21K |
| 81002 |
|
648 |
620 |
$14K |
| 83036 |
|
1,287 |
1,263 |
$13K |
| 81025 |
|
407 |
391 |
$8K |
| 87880 |
|
2,511 |
2,437 |
$8K |
| 99203 |
|
745 |
741 |
$4K |
| 80305 |
|
162 |
157 |
$3K |
| 99204 |
|
224 |
219 |
$2K |
| 87428 |
|
2,164 |
2,097 |
$2K |
| 96372 |
|
757 |
712 |
$1K |
| 3725F |
|
377 |
374 |
$1K |
| 90756 |
|
26 |
26 |
$1K |
| 96127 |
|
840 |
823 |
$918.87 |
| J1885 |
Ketorolac tromethamine inj |
40 |
39 |
$455.28 |
| G0447 |
Behavior counsel obesity 15m |
208 |
189 |
$367.87 |
| G0444 |
Depression screen annual |
121 |
117 |
$356.74 |
| 87426 |
|
192 |
190 |
$306.57 |
| 99215 |
Prolong outpt/office vis |
41 |
40 |
$262.40 |
| 90471 |
|
165 |
164 |
$224.89 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$155.36 |
| 87804 |
|
224 |
221 |
$151.84 |
| 90661 |
|
18 |
18 |
$62.10 |
| 99212 |
|
154 |
151 |
$43.56 |
| 87635 |
|
20 |
19 |
$13.68 |
| 99395 |
|
213 |
210 |
$0.00 |
| 99396 |
|
63 |
63 |
$0.00 |
| 86756 |
|
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
110 |
106 |
$0.00 |
| 90460 |
|
37 |
37 |
$0.00 |
| 87807 |
|
25 |
24 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
81 |
80 |
$0.00 |
| 90694 |
|
22 |
22 |
$0.00 |