Medicaid Provider Spending

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

CURANA HEALTH OF NEW MEXICO LLC

NPI: 1598352015 · ESPANOLA, NM 87532 · Nurse Practitioner · NPI assigned 12/30/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$771K
Total Medicaid Paid
31,148
Total Claims
22,950
Beneficiaries
26
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SVP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date12/30/2020

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 685 $40K
2022 303 $31K
2023 12,628 $247K
2024 17,532 $452K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 8,035 5,382 $389K
99310 Prolong nursin fac eval 15m 3,125 2,578 $233K
99306 Prolong nursin fac eval 15m 681 640 $69K
99223 Prolong inpt eval add15 m 470 421 $49K
99308 Subsequent nursing facility care, per day, straightforward 369 269 $12K
99358 Prolong nursin fac eval 15m 224 201 $11K
99222 Initial hospital care, per day, moderate complexity 58 58 $5K
99316 15 14 $1K
99232 Subsequent hospital care, per day, moderate complexity 33 32 $1K
99406 33 32 $208.38
1123F 1,194 1,143 $71.22
1159F 3,700 2,409 $0.00
3077F 228 166 $0.00
3078F 2,825 1,971 $0.00
1160F 3,682 2,397 $0.00
1124F 409 385 $0.00
3074F 2,301 1,643 $0.00
1126F 950 686 $0.00
3075F 265 207 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 880 794 $0.00
3044F 489 462 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 458 433 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 277 271 $0.00
3079F 222 180 $0.00
1170F 101 98 $0.00
1125F 124 78 $0.00