Medicaid Provider Spending

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

DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT

NPI: 1639176456 · DALHART, TX 79022 · Skilled Nursing Facility · NPI assigned 07/07/2005

$102K
Total Medicaid Paid
3,315
Total Claims
2,834
Beneficiaries
13
Codes Billed
2020-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBUNDY, MELISSA (CEO)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: BUNDY, MELISSA

ProviderCityStateTotal Paid
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT DALHART TX $1.05M
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT DALHART TX $820K
DALLAM-HARTLEY COUNTIES HOSPITAL DISTRICT DALHART TX $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 198 $13K
2021 1,428 $37K
2022 964 $38K
2023 542 $13K
2024 183 $203.58

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 152 139 $40K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 288 280 $31K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 383 369 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 69 59 $7K
87634 39 36 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 56 50 $2K
80053 Comprehensive metabolic panel 412 355 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 80 39 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 614 531 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 27 26 $1K
87807 19 19 $316.14
36415 Collection of venous blood by venipuncture 1,164 919 $290.83
84443 Thyroid stimulating hormone (TSH) 12 12 $0.00