Medicaid Provider Spending

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

KAYENTA ALTERNATIVE RURAL HOSPITAL

NPI: 1740359108 · TONALEA, AZ 86044 · General Acute Care Hospital · NPI assigned 11/07/2006

$48K
Total Medicaid Paid
1,603
Total Claims
1,429
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKELEWOOD, TERRI (BUSINESS OFFICE MANAGER)
Parent OrganizationKAYENTA ALTERNATIVE RURAL HOSPITAL
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: KELEWOOD, TERRI

ProviderCityStateTotal Paid
KAYENTA ALTERNATIVE RURAL HOSPITAL KAYENTA AZ $9.82M
KAYENTA ALTERNATIVE RURAL HOSPITAL KAYENTA AZ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $13K
2019 472 $14K
2020 363 $15K
2021 46 $1K
2022 61 $2K
2023 99 $2K
2024 24 $887.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 813 734 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 357 332 $20K
99441 170 145 $3K
99442 26 24 $874.53
98966 115 101 $458.78
D0140 Limited oral evaluation - problem focused 45 16 $427.00
80053 Comprehensive metabolic panel 13 13 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 26 $0.00
81003 25 25 $0.00
80061 Lipid panel 13 13 $0.00