SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC
NPI: 1124111901
· SANTA FE, NM 87505
· Medical Specialty Clinic/Center
· NPI assigned 10/02/2006
$520K
Total Medicaid Paid
Provider Details
| Authorized Official | KIDMAN, STEVEN (PRESIDENT OWNER) |
| NPI Enumeration Date | 10/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,534 |
$174K |
| 2019 |
2,272 |
$169K |
| 2020 |
1,925 |
$178K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95913 |
|
1,190 |
1,096 |
$216K |
| 95885 |
|
1,190 |
1,096 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,092 |
1,934 |
$128K |
| 99215 |
Prolong outpt/office vis |
165 |
152 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
253 |
$11K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
912 |
722 |
$0.02 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
911 |
722 |
$0.02 |