SAN JUAN REGIONAL MEDICAL CENTER INC
NPI: 1508219916
· BLOOMFIELD, NM 87413
· Family Medicine Physician
· NPI assigned 07/20/2016
$346K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, KAREN (CFO) |
| NPI Enumeration Date | 07/20/2016 |
Related Entities
Other providers sharing the same authorized official: MILLER, KAREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,717 |
$155K |
| 2019 |
2,785 |
$136K |
| 2020 |
1,056 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,502 |
3,374 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,294 |
1,262 |
$102K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
415 |
409 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
942 |
932 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
345 |
316 |
$5K |
| 81003 |
|
48 |
45 |
$70.63 |
| 81002 |
|
12 |
12 |
$38.43 |