CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
NPI: 1992141964
· SALT LAKE CITY, UT 84111
· 261Q00000X
$6.42M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
674 |
$125K |
| 2019 |
5,708 |
$974K |
| 2020 |
1,950 |
$729K |
| 2021 |
1,968 |
$950K |
| 2022 |
1,738 |
$1.03M |
| 2023 |
2,974 |
$1.19M |
| 2024 |
3,306 |
$1.42M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
8,228 |
4,675 |
$3.86M |
| 97110 |
|
5,411 |
3,151 |
$1.92M |
| 97112 |
|
1,465 |
952 |
$257K |
| 97162 |
|
244 |
242 |
$147K |
| 97140 |
|
2,633 |
1,723 |
$134K |
| 97164 |
|
211 |
209 |
$58K |
| 97530 |
|
56 |
27 |
$32K |
| 97163 |
|
70 |
70 |
$13K |