SANTA FE NEUROLOGICAL ASSOCIATES, P.A.
NPI: 1649461153
· SANTA FE, NM 87505
· Specialist
· NPI assigned 08/08/2007
$180K
Total Medicaid Paid
Provider Details
| Authorized Official | FERNANDEZ, TINA (MANAGER) |
| NPI Enumeration Date | 08/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,827 |
$94K |
| 2019 |
1,201 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
643 |
631 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,404 |
1,286 |
$57K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
307 |
299 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
199 |
$12K |
| 95811 |
|
65 |
64 |
$5K |
| 95819 |
|
69 |
68 |
$3K |
| S9999 |
Sales tax |
334 |
301 |
$2K |