PURE LIFE NM INC
NPI: 1275139958
· SANTA FE, NM 87505
· Medical Physician Assistant
· NPI assigned 12/08/2020
$376K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
617 |
$47K |
| 2022 |
1,156 |
$86K |
| 2023 |
1,302 |
$122K |
| 2024 |
1,002 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,385 |
1,957 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,594 |
1,316 |
$177K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$10K |