Medicaid Provider Spending

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

SAN ANTONIO MEDICAL CENTER LLC

NPI: 1225417199 · DENVER, CO 80219 · General Practice Physician · NPI assigned 05/26/2015

$342K
Total Medicaid Paid
14,384
Total Claims
10,829
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialVANBANG, ANTONY (MANAGER)
NPI Enumeration Date05/26/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,902 $164K
2019 6,482 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,226 3,195 $166K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,839 2,335 $159K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 76 $10K
99205 Prolong outpt/office vis 51 45 $7K
90686 42 40 $305.49
36415 Collection of venous blood by venipuncture 192 175 $291.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 15 $289.05
93000 14 12 $88.08
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,899 4,922 $0.02
G0008 Administration of influenza virus vaccine 14 14 $0.00