ST VINCENT HOSPITAL
NPI: 1598940033
· SANTA FE, NM 87505
· Otolaryngology Physician
· NPI assigned 01/03/2008
$562K
Total Medicaid Paid
Provider Details
| Authorized Official | MONTOYA, LILLIAN (PRESIDENT AND CEO) |
| NPI Enumeration Date | 01/03/2008 |
Related Entities
Other providers sharing the same authorized official: MONTOYA, LILLIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
250 |
$7K |
| 2019 |
2,485 |
$122K |
| 2020 |
1,972 |
$99K |
| 2021 |
2,703 |
$91K |
| 2022 |
2,605 |
$88K |
| 2023 |
2,104 |
$83K |
| 2024 |
1,283 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,918 |
2,823 |
$181K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,624 |
1,602 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,612 |
2,444 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,329 |
1,303 |
$69K |
| 92557 |
|
1,593 |
1,563 |
$29K |
| 92567 |
|
2,527 |
2,463 |
$20K |
| 99243 |
|
190 |
176 |
$19K |
| 69210 |
|
186 |
163 |
$4K |
| 31575 |
|
56 |
55 |
$3K |
| 95117 |
|
252 |
110 |
$2K |
| 31231 |
|
14 |
12 |
$899.00 |
| 92588 |
|
12 |
12 |
$272.31 |
| 3078F |
|
26 |
25 |
$0.00 |
| 3074F |
|
63 |
61 |
$0.00 |