Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SANTO DOMINGO BEHAVIORAL HEALTH PROGRAM

NPI: 1396944211 · SANTO DOMINGO PUEBLO, NM 87052 · Community/Behavioral Health Agency · NPI assigned 07/11/2007

$235K
Total Medicaid Paid
472
Total Claims
264
Beneficiaries
2
Codes Billed
2023-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCALABAZA, LUCIANO (DIRECTOR)
NPI Enumeration Date07/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 253 $109K
2024 219 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 397 218 $190K
90837 Psychotherapy, 53 minutes with patient 75 46 $45K