Medicaid Provider Spending

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

FAMILY MEDICINE PARTNERS OF SANTA FE, P.C.

NPI: 1275949778 · SANTA FE, NM 87505 · Family Medicine Physician · NPI assigned 07/03/2014

$184K
Total Medicaid Paid
3,301
Total Claims
3,134
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMARTINEZ, JULIE (PRESIDENT)
NPI Enumeration Date07/03/2014

Related Entities

Other providers sharing the same authorized official: MARTINEZ, JULIE

ProviderCityStateTotal Paid
REVITALIZE PSYCHIATRIC SERVICES, INC. DENVER CO $332K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 531 $24K
2019 561 $30K
2020 445 $28K
2021 655 $31K
2022 489 $28K
2023 284 $19K
2024 336 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,649 1,564 $114K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,309 1,239 $65K
90674 119 116 $2K
0004A 19 19 $640.00
0124A 16 16 $590.80
0064A 22 22 $360.00
90480 12 12 $337.40
90661 12 12 $323.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $222.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 72 65 $189.45
91300 19 19 $0.12
91312 16 16 $0.11
91306 22 22 $0.08