Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › IBAPAH › CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

NPI: 1750510277 · IBAPAH, UT 84034 · 208D00000X

$41.30M
Total Medicaid Paid
113,454
Total Claims
92,213
Beneficiaries
119
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,912 $3.74M
2019 8,548 $2.48M
2020 12,861 $4.07M
2021 20,491 $6.26M
2022 19,987 $7.42M
2023 20,754 $8.47M
2024 16,901 $8.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 31,241 25,611 $14.64M
99214 23,164 19,411 $11.60M
90837 8,065 4,562 $3.59M
99215 Prolong outpt/office vis 3,516 3,036 $1.44M
90834 2,586 1,812 $1.12M
99203 1,505 1,425 $727K
90832 1,472 1,217 $655K
90853 2,255 957 $639K
92014 1,068 1,037 $606K
90471 5,297 4,973 $499K
99392 807 793 $486K
97803 844 740 $471K
99391 798 730 $446K
99204 702 673 $407K
99212 856 752 $384K
97110 3,172 1,475 $347K
97802 668 603 $345K
96372 1,752 1,507 $259K
99393 324 319 $209K
V2020 Vision svcs frames purchases 807 788 $198K
0011A 323 317 $153K
0012A 296 277 $139K
90472 1,758 1,684 $127K
99202 309 282 $116K
99394 171 168 $113K
G0467 Fqhc visit, estab pt 2,391 1,688 $87K
0124A 163 153 $87K
J3420 Vitamin b12 injection 996 860 $85K
90688 529 510 $81K
0002A 172 169 $75K
0013A 140 139 $74K
0001A 177 174 $73K
90791 124 122 $73K
92340 305 291 $63K
97140 1,229 597 $62K
91320 226 212 $62K
G0480 Drug test def 1-7 classes 471 381 $47K
97162 150 142 $45K
86580 97 94 $43K
92004 63 63 $43K
90658 268 264 $42K
99484 71 54 $42K
80307 426 339 $40K
H0031 Mh health assess by non-md 92 75 $37K
80305 460 358 $35K
90651 287 280 $21K
D0330 52 49 $20K
97112 95 51 $19K
T1015 Clinic service 238 131 $19K
99347 77 33 $18K
90480 219 210 $18K
0071A 38 35 $18K
0003A 29 29 $17K
99487 Ccm add 20min 49 40 $17K
0064A 27 27 $15K
99381 35 33 $15K
90647 92 92 $14K
99382 29 28 $13K
D0140 53 46 $13K
90686 1,387 1,335 $13K
90715 146 144 $12K
0072A 14 13 $8K
90677 170 166 $8K
D0150 66 61 $8K
99406 178 163 $7K
99442 17 17 $7K
90833 433 403 $7K
90460 123 123 $7K
99383 16 16 $6K
36416 53 52 $6K
97163 13 13 $6K
D1110 15 15 $5K
D1120 12 12 $4K
82306 19 19 $4K
90674 119 112 $4K
90670 477 466 $4K
92342 110 102 $3K
90461 53 53 $2K
90734 63 63 $2K
G0071 Comm svcs by rhc/fqhc 5 min 111 82 $2K
80053 70 65 $2K
81003 17 17 $2K
84443 19 19 $2K
90633 116 116 $2K
36415 128 115 $1K
97760 57 44 $1K
91301 906 864 $1K
83036 106 102 $867.53
D0274 18 18 $854.00
96127 429 418 $729.72
73630 17 12 $719.00
90723 262 259 $719.00
90474 13 13 $654.00
L3000 Ft insert ucb berkeley shell 70 59 $640.00
80061 12 12 $427.00
92015 1,313 1,245 $265.00
99407 375 292 $15.43
G0008 Admin influenza virus vac 16 13 $0.54
90648 424 415 $0.00
91312 161 152 $0.00
91300 451 422 $0.00
V2750 Anti-reflective coating 285 285 $0.00
90707 12 12 $0.00
D0220 111 95 $0.00
V2199 Lens single vision not oth c 175 175 $0.00
90700 13 13 $0.00
91307 69 60 $0.00
91305 12 12 $0.00
D1330 86 81 $0.00
90680 104 104 $0.00
J2001 Lidocaine injection 86 80 $0.00
D0230 92 72 $0.00
85025 25 25 $0.00
91306 12 12 $0.00
92587 14 14 $0.00
96110 25 25 $0.00
S0020 Injection, bupivicaine hydro 77 73 $0.00
V2781 Progressive lens per lens 42 42 $0.00
D0120 13 13 $0.00