Medicaid Provider Spending

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

SOUTHWEST PSYCHIATRY PLLC

NPI: 1427616259 · SANTA TERESA, NM 88008 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 06/05/2019

$1.62M
Total Medicaid Paid
16,764
Total Claims
12,101
Beneficiaries
12
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUSTILLOS, DANIEL (PMHNP)
NPI Enumeration Date06/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 565 $63K
2021 1,817 $162K
2022 6,620 $559K
2023 5,551 $528K
2024 2,211 $309K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,032 5,401 $805K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 5,021 3,894 $319K
90834 Psychotherapy, 45 minutes with patient 2,307 710 $188K
99205 Prolong outpt/office vis 676 675 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 876 820 $93K
90837 Psychotherapy, 53 minutes with patient 492 268 $62K
99215 Prolong outpt/office vis 142 129 $18K
90791 Psychiatric diagnostic evaluation 48 48 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 20 20 $4K
90847 Family psychotherapy with the patient present, 50 minutes 20 16 $2K
90846 Family psychotherapy without the patient present, 50 minutes 16 14 $2K
G0444 Annual depression screening, 5 to 15 minutes 114 106 $51.34