INNOVA VEIN AND VASCULAR LLC
NPI: 1013398437
· ALBUQUERQUE, NM 87109
· Phlebology Physician
· NPI assigned 06/11/2015
$716K
Total Medicaid Paid
Provider Details
| Authorized Official | SANCHEZ, JOHN (CEO) |
| NPI Enumeration Date | 06/11/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,621 |
$54K |
| 2019 |
1,161 |
$33K |
| 2020 |
1,452 |
$56K |
| 2021 |
1,024 |
$70K |
| 2022 |
1,439 |
$150K |
| 2023 |
1,650 |
$181K |
| 2024 |
1,222 |
$173K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 93970 |
|
1,708 |
1,628 |
$209K |
| 93971 |
|
1,607 |
1,373 |
$132K |
| 36471 |
|
1,148 |
615 |
$125K |
| 36475 |
|
80 |
40 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
430 |
413 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
538 |
522 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
859 |
805 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
483 |
467 |
$35K |
| 99072 |
|
141 |
95 |
$2K |
| 93925 |
|
14 |
13 |
$2K |
| 76942 |
|
24 |
24 |
$1K |
| 76937 |
|
13 |
12 |
$363.34 |
| 3288F |
|
1,527 |
1,011 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
997 |
894 |
$0.00 |