DHHS, PHS, Naihs, Shiprock Hospital
DHHS, PHS, Naihs, Shiprock Hospital was paid $3.52M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 75% of everything it billed.
BLOOMFIELD, NM 87413
Next to other Dental Clinic/Center providers in New Mexico
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 884 | $366K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 75% | 6,790 | 5,935 | $2.63M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 8.4% | 1,257 | 1,073 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 960 | 844 | $278K |
| Q3014 | Telehealth originating site facility fee | 5.4% | 437 | 368 | $191K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 1,083 | 980 | $56K |
| 42700 | 1.2% | 102 | 80 | $44K | |
| 45500 | <1% | 58 | 43 | $26K | |
| G0008 | Administration of influenza virus vaccine | <1% | 80 | 80 | $331.71 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 40 | 40 | $66.03 |
| 90686 | <1% | 18 | 18 | $56.94 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | 13 | $48.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Shiprock, NM | $190.58M |
| DHHS, PHS, Naihs, Shiprock Hospital | Teecnospos, AZ | $12.76M |
| DHHS, PHS, Naihs, Shiprock Hospital | Shiprock, NM | $126K |
| DHHS, PHS, Naihs, Shiprock Hospital | Sanostee, NM | $107K |
| DHHS, PHS, Naihs, Shiprock Hospital | Toadlena, NM | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.