STATE OF NEW MEXICO
NPI: 1578609459
· SANTA FE, NM 87505
· Public Health or Welfare Agency
· NPI assigned 01/29/2007
1,227
Beneficiary Records
Provider Details
| Authorized Official | MARTINEZ, SANDRA (DEPUTY DIRECTOR, FINANCE AND ADMINI) |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, SANDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,227 |
$17K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
454 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
194 |
194 |
$7K |
| 90656 |
|
159 |
159 |
$266.55 |
| 90651 |
|
73 |
73 |
$185.20 |
| 90633 |
|
66 |
66 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90715 |
|
68 |
68 |
$0.00 |
| 90710 |
|
33 |
33 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90619 |
|
109 |
109 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |