FIVE SANDOVAL INDIAN PUEBLOS, INC.
NPI: 1689896284
· BERNALILLO, NM 87004
· 251S00000X
$3.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q3014 |
Telehealth facility fee |
5,690 |
2,018 |
$3.10M |
| 90837 |
|
205 |
104 |
$89K |