MEDITELECARE OF NEW MEXICO, LLC
NPI: 1629639729
· ESPANOLA, NM 87532
· 103TC0700X
$1.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
580 |
$5K |
| 2020 |
6,523 |
$101K |
| 2021 |
6,871 |
$109K |
| 2022 |
6,827 |
$136K |
| 2023 |
8,741 |
$292K |
| 2024 |
11,225 |
$409K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
17,351 |
12,367 |
$587K |
| 90832 |
|
13,454 |
6,741 |
$329K |
| 99213 |
|
1,253 |
1,098 |
$32K |
| 99484 |
|
5,664 |
5,441 |
$26K |
| 99204 |
|
323 |
308 |
$19K |
| 99309 |
|
402 |
267 |
$15K |
| 99308 |
|
528 |
329 |
$13K |
| 90791 |
|
242 |
235 |
$12K |
| Q3014 |
Telehealth facility fee |
972 |
653 |
$7K |
| G0407 |
Inpt/tele follow up 25 |
452 |
298 |
$7K |
| 99305 |
|
44 |
44 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$860.02 |
| 99304 |
|
25 |
25 |
$729.49 |
| 90834 |
|
15 |
13 |
$469.05 |
| 99203 |
|
12 |
12 |
$244.00 |
| G0425 |
Inpt/ed teleconsult30 |
13 |
13 |
$131.80 |