Medicaid Provider Spending

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

DOCTORS OF SANTA TERESA PC

NPI: 1639121692 · SANTA TERESA, NM 88008 · Family Medicine Physician · NPI assigned 05/17/2006

$1.76M
Total Medicaid Paid
37,445
Total Claims
34,538
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, JENNIFER (ADMINISTRATOR)
NPI Enumeration Date05/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,804 9,688 $914K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,057 10,118 $665K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,434 1,344 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 835 808 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,807 1,528 $27K
36415 Collection of venous blood by venipuncture 5,733 5,523 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 138 135 $9K
99215 Prolong outpt/office vis 73 68 $7K
99072 464 416 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 278 275 $7K
90756 213 213 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 248 248 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 304 301 $5K
0012A 102 102 $4K
81002 1,351 1,319 $3K
0011A 108 108 $3K
71046 Radiologic examination, chest; 2 views 159 143 $3K
93000 205 183 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 204 197 $2K
0013A 50 50 $2K
0031A 59 59 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
92250 15 15 $801.00
82044 160 160 $779.46
90688 40 39 $614.06
90661 14 14 $531.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg 304 296 $359.34
82962 93 80 $183.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 53 52 $172.46
J0696 Injection, ceftriaxone sodium, per 250 mg 32 31 $60.92
G0444 Annual depression screening, 5 to 15 minutes 75 75 $49.08
J1885 Injection, ketorolac tromethamine, per 15 mg 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