MOAB VALLEY HEALTHCARE, INC
NPI: 1770513236
· MOAB, UT 84532
· 251G00000X
$2.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,151 |
$216K |
| 2019 |
4,202 |
$242K |
| 2020 |
5,176 |
$399K |
| 2021 |
9,363 |
$588K |
| 2022 |
8,762 |
$638K |
| 2023 |
665 |
$65K |
| 2024 |
25 |
$441.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
4,374 |
3,474 |
$948K |
| 80053 |
|
3,603 |
2,944 |
$701K |
| 81000 |
|
2,166 |
1,707 |
$96K |
| 87635 |
|
1,218 |
1,085 |
$59K |
| 99284 |
|
2,252 |
1,621 |
$51K |
| 99283 |
|
1,559 |
1,290 |
$36K |
| 87502 |
|
361 |
338 |
$33K |
| J2001 |
Lidocaine injection |
52 |
46 |
$29K |
| 80048 |
|
262 |
198 |
$25K |
| J2405 |
Ondansetron hcl injection |
410 |
345 |
$24K |
| 99214 |
|
2,030 |
1,359 |
$18K |
| 87426 |
|
292 |
264 |
$15K |
| 71046 |
|
501 |
434 |
$14K |
| 8888888 |
|
45 |
12 |
$12K |
| 96365 |
|
148 |
126 |
$10K |
| 99285 |
|
926 |
630 |
$9K |
| 96374 |
|
504 |
414 |
$8K |
| 96372 |
|
75 |
57 |
$7K |
| 85025 |
|
4,382 |
3,522 |
$7K |
| J3490 |
Drugs unclassified injection |
39 |
25 |
$5K |
| 70450 |
|
63 |
52 |
$5K |
| 74177 |
|
31 |
30 |
$4K |
| 87086 |
|
677 |
543 |
$4K |
| 80305 |
|
258 |
215 |
$3K |
| 71045 |
|
99 |
81 |
$3K |
| 99213 |
|
915 |
660 |
$3K |
| J1100 |
Dexamethasone sodium phos |
14 |
14 |
$3K |
| 87651 |
|
135 |
126 |
$2K |
| 93005 |
|
980 |
799 |
$2K |
| 84703 |
|
286 |
244 |
$2K |
| 84443 |
|
1,098 |
997 |
$2K |
| A9270 |
Non-covered item or service |
62 |
26 |
$2K |
| 87077 |
|
83 |
68 |
$2K |
| 87070 |
|
28 |
26 |
$1K |
| 87491 |
|
15 |
12 |
$924.62 |
| 87801 |
|
51 |
49 |
$744.09 |
| 99282 |
|
29 |
24 |
$729.12 |
| 84484 |
|
173 |
131 |
$304.01 |
| 83605 |
|
546 |
424 |
$301.89 |
| 80061 |
|
183 |
174 |
$179.34 |
| 83036 |
|
397 |
371 |
$165.24 |
| 83690 |
|
582 |
496 |
$163.26 |
| 83735 |
|
358 |
279 |
$156.91 |
| J1885 |
Ketorolac tromethamine inj |
28 |
26 |
$155.92 |
| 85610 |
|
179 |
159 |
$63.43 |
| 96375 |
|
270 |
224 |
$39.65 |
| 86140 |
|
427 |
365 |
$35.83 |
| J3010 |
Fentanyl citrate injection |
60 |
50 |
$5.45 |
| 96361 |
|
34 |
25 |
$0.00 |
| 80320 |
|
17 |
13 |
$0.00 |
| 82150 |
|
18 |
14 |
$0.00 |
| 87591 |
|
15 |
12 |
$0.00 |
| 87186 |
|
34 |
24 |
$0.00 |