Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FIVE SANDOVAL INDIAN PUEBLOS, INC.

NPI: 1689896284 · BERNALILLO, NM 87004 · Community/Behavioral Health Agency · NPI assigned 05/03/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code Q3014 with only 2 total codes billed. Highly concentrated billing profile.

$3.18M
Total Medicaid Paid
5,895
Total Claims
2,122
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialPINO, TONI (ADMINISTRATIVE ASSISTANT-F.S.I.P IN)
NPI Enumeration Date05/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $65K
2019 51 $23K
2020 990 $456K
2021 1,930 $957K
2022 1,632 $943K
2023 949 $604K
2024 189 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 5,690 2,018 $3.10M
90837 Psychotherapy, 53 minutes with patient 205 104 $89K