DOCTORS OF SANTA TERESA PC
NPI: 1639121692
· SANTA TERESA, NM 88008
· 207Q00000X
$1.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,486 |
$216K |
| 2019 |
5,851 |
$258K |
| 2020 |
6,376 |
$310K |
| 2021 |
5,970 |
$251K |
| 2022 |
6,059 |
$231K |
| 2023 |
5,121 |
$263K |
| 2024 |
2,582 |
$235K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
10,804 |
9,688 |
$914K |
| 99213 |
|
11,057 |
10,118 |
$665K |
| G2023 |
Specimen collect covid-19 |
1,434 |
1,344 |
$33K |
| 99212 |
|
835 |
808 |
$31K |
| 96372 |
|
1,807 |
1,528 |
$27K |
| 36415 |
|
5,733 |
5,523 |
$22K |
| 99202 |
|
138 |
135 |
$9K |
| 99215 |
Prolong outpt/office vis |
73 |
68 |
$7K |
| 99072 |
|
464 |
416 |
$7K |
| 87804 |
|
278 |
275 |
$7K |
| 90756 |
|
213 |
213 |
$6K |
| 90471 |
|
248 |
248 |
$5K |
| 87880 |
|
304 |
301 |
$5K |
| 0012A |
|
102 |
102 |
$4K |
| 81002 |
|
1,351 |
1,319 |
$3K |
| 0011A |
|
108 |
108 |
$3K |
| 71046 |
|
159 |
143 |
$3K |
| 93000 |
|
205 |
183 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
204 |
197 |
$2K |
| 0013A |
|
50 |
50 |
$2K |
| 0031A |
|
59 |
59 |
$2K |
| 99203 |
|
13 |
13 |
$1K |
| 92250 |
|
15 |
15 |
$801.00 |
| 82044 |
|
160 |
160 |
$779.46 |
| 90688 |
|
40 |
39 |
$614.06 |
| 90661 |
|
14 |
14 |
$531.38 |
| J1100 |
Dexamethasone sodium phos |
304 |
296 |
$359.34 |
| 82962 |
|
93 |
80 |
$183.60 |
| G2211 |
Complex e/m visit add on |
53 |
52 |
$172.46 |
| J0696 |
Ceftriaxone sodium injection |
32 |
31 |
$60.92 |
| G0444 |
Depression screen annual |
75 |
75 |
$49.08 |
| J1885 |
Ketorolac tromethamine inj |
28 |
26 |
$34.11 |
| 1170F |
|
338 |
317 |
$0.00 |
| 3008F |
|
219 |
200 |
$0.00 |
| 1090F |
|
44 |
42 |
$0.00 |
| 1159F |
|
327 |
294 |
$0.00 |
| 3078F |
|
36 |
33 |
$0.00 |
| 3077F |
|
28 |
25 |
$0.00 |