Hospital
Mescalero Indian Hospital
Mescalero Indian Hospital was paid $1.94M by Medicaid between Jan 2018 and Jul 2024, across 17 billing codes. Its largest line is Q3014, Telehealth originating site facility fee — 50% of everything it billed.
33Billing provider infoMESCALERO INDIAN HOSPITAL
MESCALERO, NM 88340
MESCALERO, NM 88340
33aNPI1891886065assigned 09/27/2006
33bProvider typeRural Acute Care Hospital
28Total paid$1.94M
24GClaims4,350
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2024
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 | 86 | $3K | |
| 2020 | 1,252 | $518K | |
| 2021 | 2,414 | $1.09M | |
| 2022 | 463 | $266K | |
| 2023 | 108 | $69K | |
| 2024incomplete | 27 | $868.94 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 50% | 1,982 | 1,673 | $970K |
| 0001A | 11% | 426 | 425 | $218K | |
| 0011A | 11% | 412 | 412 | $211K | |
| 0064A | 7.4% | 273 | 270 | $145K | |
| 0071A | 5.1% | 189 | 189 | $100K | |
| 0072A | 4.9% | 176 | 175 | $95K | |
| 0004A | 2.2% | 82 | 82 | $42K | |
| 0002A | 1.7% | 63 | 63 | $33K | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.5% | 411 | 286 | $29K |
| 0054A | 1.3% | 39 | 38 | $24K | |
| 0134A | 1.0% | 31 | 31 | $20K | |
| 99441 | 1.0% | 106 | 86 | $20K |
5 more codes
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 officialSIMMONS, DORLYNN (CHIEF EXECUTIVE OFFICER)