Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › NORFOLK › SANTA MARIANITA CLINIC, INC

SANTA MARIANITA CLINIC, INC

NPI: 1477586139 · NORFOLK, NE 68701 · Health Service Clinic/Center · NPI assigned 07/08/2006

$83K
Total Medicaid Paid
1,377
Total Claims
966
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialGOMEZ-CORDERO, RODRIGO (OWNER)
NPI Enumeration Date07/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,203 $71K
2019 174 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,167 775 $83K
81002 154 140 $378.96
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 13 $139.78
36415 Collection of venous blood by venipuncture 40 38 $84.00