DHHS, PHS, NAIHS, SHIPROCK HOSPITAL
NPI: 1760427587
· BLOOMFIELD, NM 87413
· 261QD0000X
$3.52M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,487 |
$231K |
| 2019 |
1,066 |
$178K |
| 2020 |
1,328 |
$430K |
| 2021 |
2,632 |
$990K |
| 2022 |
1,838 |
$715K |
| 2023 |
1,604 |
$607K |
| 2024 |
884 |
$366K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
6,790 |
5,935 |
$2.63M |
| G0463 |
Hospital outpt clinic visit |
1,257 |
1,073 |
$296K |
| 99213 |
|
960 |
844 |
$278K |
| Q3014 |
Telehealth facility fee |
437 |
368 |
$191K |
| 99214 |
|
1,083 |
980 |
$56K |
| 42700 |
|
102 |
80 |
$44K |
| 45500 |
|
58 |
43 |
$26K |
| G0008 |
Admin influenza virus vac |
80 |
80 |
$331.71 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
40 |
40 |
$66.03 |
| 90686 |
|
18 |
18 |
$56.94 |
| 92014 |
|
14 |
13 |
$48.72 |