Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAN JUAN COUNTY HOSPITAL

NPI: 1942251459 · MONTICELLO, UT 84535 · General Practice Physician · NPI assigned 05/12/2006

$519K
Total Medicaid Paid
6,818
Total Claims
5,747
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOLT, CLAYTON (CEO)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: HOLT, CLAYTON

ProviderCityStateTotal Paid
SAN JUAN COUNTY HOSPITAL MONTICELLO UT $704K
SAN JUAN COUNTY HOSPITAL SPANISH VALLEY UT $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 560 $67K
2019 749 $123K
2020 1,249 $93K
2021 1,575 $88K
2022 2,249 $132K
2023 390 $15K
2024 46 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36415 Collection of venous blood by venipuncture 1,474 1,167 $175K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,469 1,206 $124K
80053 Comprehensive metabolic panel 1,579 1,315 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 328 308 $32K
86140 240 209 $31K
87088 187 136 $29K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 303 287 $27K
99283 Emergency department visit for the evaluation and management, moderate severity 275 230 $21K
84443 Thyroid stimulating hormone (TSH) 255 239 $9K
71046 Radiologic examination, chest; 2 views 92 84 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 148 145 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 81 67 $5K
85027 57 53 $5K
99284 Emergency department visit for the evaluation and management, high severity 85 67 $3K
87280 29 28 $908.42
86703 13 13 $665.17
83036 Hemoglobin; glycosylated (A1C) 106 101 $642.98
85652 26 26 $533.17
83721 28 27 $504.78
80061 Lipid panel 43 39 $0.00