Medicaid Provider Spending

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

LA CLINICA DEL PUEBLO DE RIO ARRIBA

NPI: 1598797805 · TIERRA AMARILLA, NM 87575 · Orthopedic Physical Therapist · NPI assigned 07/07/2006

$385K
Total Medicaid Paid
4,966
Total Claims
3,773
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHORAN, LEONARD (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,505 $85K
2019 831 $51K
2020 1,238 $92K
2021 883 $90K
2022 275 $38K
2023 178 $20K
2024 56 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 1,171 988 $201K
90837 Psychotherapy, 53 minutes with patient 390 281 $68K
90792 Psychiatric diagnostic evaluation with medical services 233 227 $40K
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 1,592 1,077 $27K
90832 Psychotherapy, 30 minutes with patient 147 119 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 417 327 $18K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 192 156 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 824 598 $3K