Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Cibola General Hospital Corporation

Cibola General Hospital Corporation was paid $26.50M by Medicaid between Jan 2018 and Dec 2024, across 234 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoCIBOLA GENERAL HOSPITAL CORPORATION
GRANTS, NM 87020
33aNPI1780677039assigned 08/23/2005
33bProvider typeCritical Access Hospital
28Total paid$26.50M
24GClaims290,654
24DCodes billed234
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Access Hospital providers in New Mexico

Rank by total paid#3 of 6
Median peer was paid$15.48M
This provider vs. median1.7×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201844,779$3.10M
201927,760$1.91M
202018,903$1.53M
202128,389$2.69M
202250,431$5.16M
202375,780$7.54M
2024incomplete44,612$4.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 19% 14,521 13,520 $5.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 7,028 6,469 $3.34M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.7% 10,153 9,533 $2.31M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 2,489 2,285 $1.50M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.3% 1,521 1,429 $1.13M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.0% 3,403 2,820 $798K
70450 Computed tomography, head or brain; without contrast material 2.9% 1,790 1,664 $772K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.6% 2,787 2,664 $687K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 4,461 3,933 $602K
96375 Therapeutic injection; each additional sequential IV push 2.0% 4,370 3,698 $533K
96361 Intravenous infusion, hydration; each additional hour 2.0% 4,307 3,776 $525K
J3490 Unclassified drugs 1.8% 8,183 4,154 $489K
222 more codes
71045 Radiologic examination, chest; single view 1.6% 3,465 $431K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.6% 3,422 $421K
80053 Comprehensive metabolic panel 1.6% 17,973 $416K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.5% 4,630 $404K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.3% 573 $340K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.2% 2,835 $329K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.1% 3,413 $302K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 18,541 $291K
71046 Radiologic examination, chest; 2 views 1.1% 2,167 $282K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.0% 4,150 $272K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.0% 1,161 $266K
99213 Doctor's office visit, returning patient (routine) <1% 5,379 $239K
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% 1,895 $229K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,166 $210K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,493 $173K
77067 Screening mammography, bilateral, including computer-aided detection <1% 496 $162K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 728 $153K
36415 Collection of venous blood by venipuncture <1% 19,562 $149K
73562 <1% 702 $147K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,551 $132K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 747 $113K
73610 <1% 447 $103K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 121 $100K
D2930 Prefabricated stainless steel crown - primary tooth <1% 249 $99K
84443 Thyroid stimulating hormone (TSH) <1% 3,884 $96K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,197 $93K
87430 <1% 2,801 $91K
84484 <1% 3,250 $88K
73630 <1% 492 $80K
73030 <1% 371 $75K
83690 <1% 3,679 $74K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 595 $66K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 254 $65K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,211 $64K
82077 <1% 1,417 $61K
59025 Fetal non-stress test <1% 191 $59K
76801 <1% 220 $57K
73130 <1% 343 $57K
87800 <1% 717 $55K
G0378 Hospital observation service, per hour <1% 112 $55K
83605 <1% 2,053 $54K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 588 $52K
99214 Doctor's office visit, returning patient (more involved) <1% 656 $52K
87400 <1% 1,797 $50K
80061 Lipid panel <1% 2,233 $49K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 198 $49K
76830 Ultrasound, transvaginal <1% 194 $47K
90837 Psychotherapy session, about an hour <1% 462 $45K
83880 <1% 958 $43K
83036 Hemoglobin; glycosylated (A1C) <1% 3,124 $43K
94761 <1% 1,399 $38K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 187 $36K
77063 Screening digital breast tomosynthesis, bilateral <1% 482 $35K
84703 <1% 1,798 $33K
81015 <1% 5,238 $32K
88160 <1% 372 $32K
81001 <1% 3,377 $31K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 6,049 $30K
73110 <1% 170 $29K
87040 <1% 939 $29K
72125 Computed tomography, cervical spine; without contrast material <1% 59 $28K
81025 <1% 1,795 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,251 $27K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 6,414 $25K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 130 $25K
83735 <1% 2,031 $24K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,499 $24K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,853 $24K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,147 $21K
80048 Basic metabolic panel (calcium, ionized) <1% 1,131 $21K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,024 $20K
97161 <1% 302 $19K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 67 $19K
86850 <1% 656 $19K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 548 $19K
84702 <1% 589 $19K
85027 <1% 1,640 $19K
80143 <1% 339 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 206 $16K
71275 Computed tomographic angiography, chest, with contrast material <1% 14 $16K
90472 Immunization administration, each additional vaccine (list separately) <1% 406 $15K
85610 <1% 2,317 $15K
86140 <1% 1,422 $15K
85379 <1% 590 $15K
80179 <1% 290 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 153 $14K
J2704 Injection, propofol, 10 mg <1% 1,212 $14K
72100 <1% 62 $13K
87070 <1% 799 $13K
87088 <1% 756 $13K
85730 <1% 1,082 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 424 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,018 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 126 $11K
86900 <1% 1,063 $11K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 54 $11K
99238 Hospital discharge day management, 30 minutes or less <1% 214 $11K
84439 <1% 712 $11K
96376 <1% 291 $11K
96367 <1% 116 $9K
87081 <1% 1,206 $9K
86803 <1% 389 $9K
87807 <1% 442 $9K
76819 Fetal biophysical profile; without non-stress testing <1% 26 $9K
J7030 Infusion, normal saline solution , 1000 cc <1% 424 $9K
99222 Initial hospital care, per day, moderate complexity <1% 84 $8K
74018 <1% 42 $8K
86592 <1% 884 $8K
87340 <1% 382 $7K
99203 Doctor's office visit, new patient (routine) <1% 156 $7K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,302 $7K
82150 <1% 559 $7K
95800 <1% 13 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 88 $7K
90832 Psychotherapy session, about 30 minutes <1% 81 $7K
70486 <1% 12 $7K
82962 <1% 2,111 $7K
83655 <1% 290 $6K
82803 <1% 132 $6K
85007 <1% 794 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,501 $6K
86769 <1% 98 $6K
87186 <1% 360 $6K
87590 <1% 190 $5K
36600 <1% 133 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 189 $5K
87490 <1% 189 $5K
90715 <1% 190 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 783 $5K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 208 $5K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 15 $5K
82570 <1% 543 $5K
81513 <1% 72 $5K
A9270 Non-covered item or service <1% 1,851 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,195 $4K
86885 <1% 244 $4K
97032 <1% 203 $4K
74019 <1% 28 $4K
82550 <1% 402 $4K
73564 <1% 20 $4K
87481 <1% 73 $4K
90839 <1% 43 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 72 $4K
82746 <1% 144 $4K
81002 <1% 720 $4K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 248 $4K
82607 <1% 146 $4K
99232 Hospital visit by a doctor, follow-up day <1% 108 $4K
84100 <1% 338 $4K
86762 <1% 161 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 39 $4K
73502 <1% 28 $4K
83550 <1% 244 $4K
80320 <1% 114 $4K
76641 <1% 15 $4K
86695 <1% 147 $3K
99239 Hospital discharge day management, more than 30 minutes <1% 55 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 60 $3K
82043 <1% 340 $3K
82728 <1% 144 $3K
74022 <1% 13 $3K
83540 <1% 269 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 44 $3K
86787 <1% 101 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $2K
86901 <1% 300 $2K
90461 <1% 87 $2K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 1,035 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 179 $2K
90670 <1% 37 $2K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 258 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 149 $2K
A9150 Non-prescription drugs <1% 1,331 $2K
J2060 Injection, lorazepam, 2 mg <1% 534 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 33 $2K
90686 <1% 166 $1K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 530 $1K
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 128 $1K
20610 <1% 50 $1K
82951 <1% 49 $1K
99204 Doctor's office visit, new patient (more involved) <1% 14 $1K
85018 <1% 210 $1K
00170 Anesthesia for intraoral procedures, including biopsy <1% 15 $1K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 27 $1K
97162 <1% 13 $999.01
85014 <1% 184 $968.25
87205 <1% 127 $966.20
J1170 Injection, hydromorphone, up to 4 mg <1% 268 $710.92
85651 <1% 83 $695.04
J3480 Injection, potassium chloride, per 2 meq <1% 109 $661.54
82553 <1% 33 $654.84
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 236 $635.19
99173 <1% 18 $510.00
J2550 Injection, promethazine hcl, up to 50 mg <1% 269 $481.17
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 15 $462.99
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 15 $441.18
99000 <1% 79 $439.08
J3360 Injection, diazepam, up to 5 mg <1% 16 $414.48
86308 <1% 27 $345.90
82105 <1% 13 $335.96
J1030 Injection, methylprednisolone acetate, 40 mg <1% 42 $330.51
J2270 Injection, morphine sulfate, up to 10 mg <1% 99 $316.21
80305 <1% 19 $296.18
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 12 $295.09
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 113 $242.93
92552 <1% 17 $213.85
86709 <1% 14 $209.76
86705 <1% 13 $197.56
81000 <1% 104 $194.94
J1815 Injection, insulin, per 5 units <1% 94 $181.80
83615 <1% 13 $170.57
82248 <1% 18 $158.95
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 92 $156.51
82010 <1% 12 $153.44
J3411 Injection, thiamine hcl, 100 mg <1% 19 $94.55
96161 <1% 33 $90.09
J8540 Dexamethasone, oral, 0.25 mg <1% 24 $80.84
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 16 $45.39
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 13 $45.38
J3475 Injection, magnesium sulfate, per 500 mg <1% 13 $43.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 27 $13.80

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 officialROJAS, DONNA (CREDENTIALING SPECIALIST)
Same official

Other billing entities under ROJAS, DONNA

Full network →
ProviderLocationPaid
Cibola General Hospital CorporationGrants, NM$6.40M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.