Medicaid Provider Spending

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

GALISTEO ADVANCED GYNECOLOGY LLC

NPI: 1235327784 · SANTA FE, NM 87505 · Gynecology Physician · NPI assigned 10/10/2007

$38K
Total Medicaid Paid
890
Total Claims
853
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialSUMMERS, BRIAN (PRACTICE MANAGER)
NPI Enumeration Date10/10/2007

Related Entities

Other providers sharing the same authorized official: SUMMERS, BRIAN

ProviderCityStateTotal Paid
CALAPOOIA FAMILY DENTAL, PC ALBANY OR $256K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 298 $10K
2019 257 $9K
2020 174 $8K
2021 161 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 457 435 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 147 142 $13K
81002 219 214 $476.47
S9999 Sales tax 28 24 $235.96
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 39 38 $0.00