Santa Marianita Clinic, INC

Santa Marianita Clinic, INC was paid $83K by Medicaid between Jan 2018 and Mar 2019, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 99% of everything it billed.

33Billing provider infoSANTA MARIANITA CLINIC, INC
NORFOLK, NE 68701

33aNPI1477586139assigned 07/08/2006

33bProvider typeHealth Service Clinic/Center

28Total paid$83K

24GClaims1,377

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Health Service Clinic/Center providers in Nebraska

Rank by total paid#2 of 7

Median peer was paid$51K

This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,203	$71K
2019	174	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	99%	1,167	775	$83K
81002		<1%	154	140	$378.96
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	16	13	$139.78
36415	Collection of venous blood by venipuncture	<1%	40	38	$84.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGOMEZ-CORDERO, RODRIGO (OWNER)