Clinic
DHHS, PHS, Naihs, Shiprock Hospital
DHHS, PHS, Naihs, Shiprock Hospital was paid $190.58M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 37% of everything it billed.
33Billing provider infoDHHS, PHS, NAIHS, SHIPROCK HOSPITAL
SHIPROCK, NM 87420
SHIPROCK, NM 87420
33aNPI1780639971assigned 05/24/2006
33bProvider typeDental Clinic/Center
28Total paid$190.58M
24GClaims430,719
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#1 of 41
Median peer was paid$351K
This provider vs. median543×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 62,347 | $18.51M | |
| 2019 | 61,471 | $21.37M | |
| 2020 | 51,131 | $19.63M | |
| 2021 | 85,834 | $38.29M | |
| 2022 | 74,402 | $37.97M | |
| 2023 | 62,624 | $33.10M | |
| 2024incomplete | 32,910 | $21.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 37% | 144,914 | 105,858 | $71.15M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 26% | 121,348 | 86,175 | $49.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 74,360 | 57,201 | $39.24M |
| Q3014 | Telehealth originating site facility fee | 2.9% | 10,535 | 8,245 | $5.47M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.6% | 22,432 | 17,059 | $4.96M |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 6,939 | 6,345 | $3.57M |
| 0002A | 1.1% | 4,246 | 4,211 | $2.13M | |
| 0001A | 1.1% | 4,093 | 4,061 | $2.01M | |
| 0124A | <1% | 2,839 | 2,803 | $1.52M | |
| 90480 | <1% | 2,639 | 2,602 | $1.46M | |
| 0064A | <1% | 2,668 | 2,632 | $1.37M | |
| 0012A | <1% | 2,087 | 2,065 | $1.01M |
72 more codes
| 0011A | <1% | 2,060 | $1.00M | |
| 0054A | <1% | 1,728 | $921K | |
| 0004A | <1% | 1,753 | $893K | |
| 0071A | <1% | 1,410 | $741K | |
| 0134A | <1% | 1,382 | $699K | |
| 0072A | <1% | 1,174 | $643K | |
| 0003A | <1% | 1,170 | $546K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,753 | $163K |
| 0052A | <1% | 211 | $127K | |
| 0154A | <1% | 196 | $124K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 502 | $111K |
| 0031A | <1% | 224 | $109K | |
| 51900 | <1% | 266 | $109K | |
| 0074A | <1% | 171 | $108K | |
| 0051A | <1% | 158 | $88K | |
| 0081A | <1% | 119 | $76K | |
| 91320 | <1% | 114 | $73K | |
| 0111A | <1% | 98 | $62K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,940 | $53K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,769 | $42K |
| 91322 | <1% | 62 | $39K | |
| 0082A | <1% | 59 | $38K | |
| 0112A | <1% | 48 | $31K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 91 | $20K |
| 91301 | <1% | 101 | $20K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 450 | $19K |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 34 | $14K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 160 | $12K |
| 91319 | <1% | 19 | $12K | |
| 90686 | <1% | 1,109 | $10K | |
| G0008 | Administration of influenza virus vaccine | <1% | 2,475 | $9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 27 | $9K |
| 0034A | <1% | 17 | $9K | |
| 0164A | <1% | 12 | $8K | |
| 90674 | <1% | 125 | $7K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 161 | $6K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,317 | $6K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 28 | $6K |
| 99283 | Emergency room visit (moderate) | <1% | 79 | $5K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 195 | $5K |
| 99305 | <1% | 74 | $5K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 30 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 96 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 900 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 92 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 25 | $4K |
| 90746 | <1% | 354 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 75 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 44 | $2K |
| 90677 | <1% | 275 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16 | $1K |
| 90662 | <1% | 300 | $1K | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 791 | $1K |
| G0010 | Administration of hepatitis b vaccine | <1% | 352 | $964.08 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $948.12 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $853.55 |
| 99284 | Emergency room visit (serious) | <1% | 24 | $769.46 |
| 97161 | <1% | 38 | $656.49 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 427 | $586.34 |
| 90670 | <1% | 27 | $557.50 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 56 | $556.19 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 86 | $519.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $428.49 |
| 90694 | <1% | 354 | $412.05 | |
| 90688 | <1% | 79 | $403.05 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 28 | $107.79 |
| 11721 | <1% | 13 | $78.15 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 61 | $58.13 |
| 73030 | <1% | 13 | $21.48 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 92 | $0.00 |
| 90656 | 0% | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCOMER, FANNESSA (CEO)
| Provider | Location | Paid |
|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Teecnospos, AZ | $12.76M |
| DHHS, PHS, Naihs, Shiprock Hospital | Bloomfield, NM | $3.52M |
| 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.