Medicaid Provider Spending

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

UPPER SAN JUAN HEALTH SERVICE DISTRICT

NPI: 1659523058 · PAGOSA SPRINGS, CO 81147 · Critical Access Hospital Clinic/Center · NPI assigned 10/16/2008

$590K
Total Medicaid Paid
10,410
Total Claims
8,313
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEBB, RHONDA (CEO, CMO)
NPI Enumeration Date10/16/2008

Related Entities

Other providers sharing the same authorized official: WEBB, RHONDA

ProviderCityStateTotal Paid
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $3.65M
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $1.73M
UPPER SAN JUAN HEALTH SERVICE DISTRICT PAGOSA SPRINGS CO $71K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,061 $45K
2019 2,058 $98K
2020 1,488 $60K
2021 1,309 $78K
2022 1,645 $103K
2023 1,702 $117K
2024 1,147 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 5,665 5,219 $284K
99284 Emergency department visit for the evaluation and management, high severity 2,218 2,096 $202K
90832 Psychotherapy, 30 minutes with patient 1,574 510 $56K
90834 Psychotherapy, 45 minutes with patient 699 258 $40K
99282 Emergency department visit for the evaluation and management, low to moderate severity 192 180 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 24 14 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 15 $736.97
77067 Screening mammography, bilateral, including computer-aided detection 23 21 $607.05