Medicaid Provider Spending

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

SANTA TERESA FAMILY MEDICAL CENTER

NPI: 1144757063 · SANTA TERESA, NM 88008 · Clinic/Center · NPI assigned 05/23/2017

$2.02M
Total Medicaid Paid
42,378
Total Claims
38,458
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVELA, MARIO (OWNER)
NPI Enumeration Date05/23/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,005 $173K
2019 8,513 $253K
2020 7,951 $281K
2021 5,968 $274K
2022 6,208 $315K
2023 5,255 $357K
2024 4,478 $364K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,756 14,422 $1.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,150 1,930 $139K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,565 2,273 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 362 355 $46K
99215 Prolong outpt/office vis 505 467 $43K
36415 Collection of venous blood by venipuncture 6,036 5,964 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 270 265 $24K
99442 211 200 $21K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 88 13 $18K
95923 329 303 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 148 148 $16K
80061 Lipid panel 1,200 1,189 $15K
99443 116 97 $13K
93922 317 294 $13K
95921 392 363 $12K
J1020 Injection, methylprednisolone acetate, 20 mg 1,046 935 $11K
83036 Hemoglobin; glycosylated (A1C) 1,073 1,066 $10K
87428 153 140 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 473 465 $10K
96130 54 53 $8K
90686 389 381 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 36 $4K
82947 983 978 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 415 415 $3K
93923 32 29 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,296 1,181 $2K
93000 184 172 $2K
81002 738 696 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 111 109 $2K
96138 54 53 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 198 162 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 36 34 $1K
93970 12 12 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 196 163 $914.17
J0696 Injection, ceftriaxone sodium, per 250 mg 436 397 $709.72
90658 47 46 $485.86
96127 14 14 $384.44
J2360 Injection, orphenadrine citrate, up to 60 mg 73 69 $357.85
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $170.94
G0444 Annual depression screening, 5 to 15 minutes 14 14 $152.86
J1040 Injection, methylprednisolone acetate, 80 mg 14 13 $87.79
G0008 Administration of influenza virus vaccine 12 12 $33.56
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 13 13 $18.24
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 99 71 $2.93
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 64 52 $1.76
99606 237 210 $0.12
1160F 196 177 $0.00
3077F 62 57 $0.00
3078F 1,092 974 $0.00
1159F 103 96 $0.00
3074F 907 813 $0.00
1170F 14 14 $0.00
1125F 27 26 $0.00
3075F 18 15 $0.00