Medicaid Provider Spending

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

SAN JUAN COUNTY HOSPITAL

NPI: 1659315877 · MONTICELLO, UT 84535 · Family Medicine Physician · NPI assigned 06/16/2006

$704K
Total Medicaid Paid
9,982
Total Claims
8,241
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOLT, CLAYTON (CFO)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: HOLT, CLAYTON

ProviderCityStateTotal Paid
SAN JUAN COUNTY HOSPITAL MONTICELLO UT $519K
SAN JUAN COUNTY HOSPITAL SPANISH VALLEY UT $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,296 $63K
2019 1,607 $88K
2020 1,802 $103K
2021 1,730 $128K
2022 1,684 $179K
2023 1,308 $91K
2024 555 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,902 3,268 $288K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,334 2,589 $245K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,613 2,271 $166K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 29 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 57 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $656.80