Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SANTO DOMINGO TRIBE
NPI: 1679766489 · SANTO DOMINGO PUEBLO, NM 87052 ·
3416L0300X
$606K
Total Medicaid Paid
3,944
Total Claims
3,555
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
524
$57K
2019
726
$84K
2020
529
$54K
2021
520
$67K
2022
704
$99K
2023
650
$148K
2024
291
$97K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
A0427
Als1-emergency
1,017
933
$285K
A0425
Ground mileage
2,239
1,999
$164K
A0429
Bls-emergency
674
611
$156K
A0998
Ambulance response/treatment
14
12
$900.00