Medicaid Provider Spending

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

SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH

NPI: 1396464723 · ALBUQUERQUE, NM 87114 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 08/29/2022

$357K
Total Medicaid Paid
3,433
Total Claims
3,247
Beneficiaries
3
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPROVENCIO, DESIREE (MEMBER/MANAGER)
NPI Enumeration Date08/29/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,409 $144K
2024 2,024 $213K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,719 1,623 $222K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,584 1,494 $113K
99205 Prolong outpt/office vis 130 130 $22K