Medicaid Provider Spending

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

SAN MIGUEL CLINIC CORP

NPI: 1114920717 · LAS VEGAS, NM 87701 · Family Medicine Physician · NPI assigned 05/27/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FEY, LAURA controls 20+ related entities in our dataset. Read more

$1.76M
Total Medicaid Paid
54,961
Total Claims
50,608
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEY, LAURA (DIRECTOR REVENUE CYCLE)
NPI Enumeration Date05/27/2005

Related Entities

Other providers sharing the same authorized official: FEY, LAURA

ProviderCityStateTotal Paid
MCKENZIE-WILLAMETTE REGIONAL MEDICAL CENTER ASSOCIATES LLC SPRINGFIELD OR $44.67M
DEMING HOSPITAL CORPORATION DEMING NM $11.41M
THREE RIVERS MEDICAL CLINICS INC LOUISA KY $7.06M
AMBULANCE SERVICES OF FORREST CITY LLC FORREST CITY AR $3.51M
AMBULANCE SERVICES OF TOOELE, LLC TOOELE UT $3.42M
PAINTSVILLE HMA PHYSICIAN MANAGEMENT, LLC PAINTSVILLE KY $2.41M
DEMING CLINIC CORPORATION DEMING NM $2.06M
FORT PAYNE CLINIC CORP. FORT PAYNE AL $2.00M
FORT PAYNE RHC CORP FORT PAYNE AL $1.76M
JACKSON HOSPITAL CORPORATION BEATTYVILLE KY $1.68M
TOOELE CLINIC CORP TOOELE UT $1.29M
WILLIAMSTON CLINIC CORP WILLIAMSTON NC $1.26M
MCKENZIE PHYSICIAN SERVICES LLC BRENTWOOD TN $1.24M
ANNA HOSPITAL CORPORATION ANNA IL $1.17M
BIG BEND HOSPITAL CORPORATION ALPINE TX $952K
KENTUCKY RIVER PHYSICIAN CORPORATION JACKSON KY $948K
FORT PAYNE HBP LLC FORT PAYNE AL $731K
FORREST CITY CLINIC COMPANY LLC FORREST CITY AR $702K
MESQUITE CLINIC MANAGEMENT COMPANY LLC LOGANDALE NV $597K
MESQUITE CLINIC MANAGEMENT COMPANY LLC MESQUITE NV $556K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,856 $415K
2019 9,729 $428K
2020 6,690 $194K
2021 8,363 $159K
2022 8,202 $154K
2023 7,212 $195K
2024 3,909 $221K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,775 12,515 $800K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,311 2,300 $228K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,046 2,005 $206K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 934 930 $88K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,362 1,244 $85K
90472 Immunization administration, each additional vaccine (list separately) 3,819 3,375 $73K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,245 5,164 $67K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 811 780 $62K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 352 352 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 278 268 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 998 995 $16K
S9999 Sales tax 1,422 1,302 $10K
99232 Subsequent hospital care, per day, moderate complexity 170 64 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 554 517 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 216 199 $8K
99238 Hospital discharge day management, 30 minutes or less 169 162 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 461 437 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 305 124 $6K
90474 171 171 $4K
81002 1,310 1,280 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 506 485 $3K
99215 Prolong outpt/office vis 36 27 $2K
99221 34 33 $2K
83655 153 153 $2K
90670 1,452 1,432 $1K
81025 152 147 $1K
90461 650 313 $1K
20610 47 43 $983.30
85018 350 347 $831.60
87430 49 49 $759.01
87807 60 59 $703.84
90633 274 274 $452.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 82 81 $446.41
90686 570 566 $430.32
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 26 $297.17
90674 15 14 $240.93
99490 Ccm add 20min 88 87 $218.06
90680 588 584 $173.70
90649 90 90 $139.09
90647 1,098 1,088 $83.19
82962 41 31 $47.98
90685 42 42 $46.48
90723 520 516 $31.26
90756 23 23 $8.00
91300 13 13 $0.13
3074F 908 776 $0.01
3078F 819 710 $0.00
90672 76 76 $0.00
1160F 1,890 1,710 $0.00
90671 121 121 $0.00
90710 175 175 $0.00
1159F 1,697 1,550 $0.00
0502F 1,004 656 $0.00
90734 75 75 $0.00
90658 140 126 $0.00
3725F 17 17 $0.00
90681 12 12 $0.00
1036F 2,336 2,106 $0.00
1126F 181 153 $0.00
3008F 1,332 1,154 $0.00
90657 86 75 $0.00
90697 219 219 $0.00
90696 29 29 $0.00
1125F 49 46 $0.00
3079F 112 102 $0.00
90698 13 13 $0.00