Medicaid Provider Spending

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

LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY

NPI: 1942511019 · LA JARA, CO 81140 · Rural Health Clinic/Center · NPI assigned 06/23/2010

$1.29M
Total Medicaid Paid
13,707
Total Claims
11,372
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARVIN, HENRY (CCH CEO)
Parent OrganizationLUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
NPI Enumeration Date06/23/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,755 $276K
2019 2,284 $249K
2020 720 $77K
2021 1,418 $121K
2022 2,232 $218K
2023 2,340 $186K
2024 1,958 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,695 5,278 $839K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,834 1,267 $166K
99283 Emergency department visit for the evaluation and management, moderate severity 3,331 3,129 $160K
99284 Emergency department visit for the evaluation and management, high severity 699 660 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 150 135 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 187 162 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity 481 440 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $4K
99173 31 28 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 18 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 126 117 $1K
99308 Subsequent nursing facility care, per day, straightforward 14 13 $693.93
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $203.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 18 $13.33
96127 13 12 $8.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18 15 $7.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 16 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 12 $0.00