Medicaid Provider Spending

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

SOUTHWEST MEDICAL CLINIC INC

NPI: 1144468075 · BOSQUE FARMS, NM 87068 · Family Nurse Practitioner · NPI assigned 01/30/2009

$1.75M
Total Medicaid Paid
13,817
Total Claims
13,045
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANSOORI, FATEMEH (OWNER/ PROVIDER)
NPI Enumeration Date01/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,005 $314K
2019 2,771 $338K
2020 1,488 $190K
2021 1,725 $220K
2022 1,943 $261K
2023 1,518 $217K
2024 1,367 $208K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 7,330 6,906 $1.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,930 4,596 $455K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 940 933 $132K
36410 217 214 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 161 160 $2K
86403 50 49 $625.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $197.76
81002 119 119 $122.77
36415 Collection of venous blood by venipuncture 56 56 $118.38