Medicaid Provider Spending

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

SALIDA HOSPITAL DISTRICT

NPI: 1649982257 · FAIRPLAY, CO 80440 · Primary Care Clinic/Center · NPI assigned 12/15/2022

$44K
Total Medicaid Paid
667
Total Claims
572
Beneficiaries
4
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFAGERBERG, LESLEY (VICE PRESIDENT FINANCE)
NPI Enumeration Date12/15/2022

Related Entities

Other providers sharing the same authorized official: FAGERBERG, LESLEY

ProviderCityStateTotal Paid
SALIDA HOSPITAL DISTRICT SALIDA CO $1.12M
SALIDA HOSPITAL DISTRICT SALIDA CO $797K
SALIDA HOSPITAL DISTRICT SALIDA CO $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 259 $15K
2024 408 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 362 300 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 226 201 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 32 $198.36
36415 Collection of venous blood by venipuncture 42 39 $102.90