Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › EDGEWOOD › SANDIA MOUNTAIN MEDICAL, INC.

SANDIA MOUNTAIN MEDICAL, INC.

NPI: 1609885243 · EDGEWOOD, NM 87015 · Family Nurse Practitioner · NPI assigned 08/05/2006

$22K
Total Medicaid Paid
338
Total Claims
303
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialGONZALES, VICTORIA (OFFICE MANAGER)
NPI Enumeration Date08/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 338 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 292 259 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 31 $1K
71046 Radiologic examination, chest; 2 views 14 13 $322.74