Medicaid Provider Spending

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

NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.

NPI: 1750508651 · GANADO, AZ 86505 · Rural Health Clinic/Center · NPI assigned 04/20/2007

$132K
Total Medicaid Paid
3,969
Total Claims
3,715
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCURLEY, ANDREA (MEDICAL STAFF CREDENTIALIST)
Parent OrganizationNAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
NPI Enumeration Date04/20/2007

Related Entities

Other providers sharing the same authorized official: CURLEY, ANDREA

ProviderCityStateTotal Paid
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC GANADO AZ $679K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,323 $43K
2019 1,509 $38K
2020 713 $27K
2021 394 $22K
2023 30 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,272 1,138 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 918 873 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 219 215 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 511 474 $3K
J0561 Injection, penicillin g benzathine, 100,000 units 27 26 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 13 $937.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 31 $935.48
36415 Collection of venous blood by venipuncture 856 826 $24.47
J0696 Injection, ceftriaxone sodium, per 250 mg 44 42 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $0.00
G0008 Administration of influenza virus vaccine 20 20 $0.00
90686 20 20 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 24 24 $0.00