Medicaid Provider Spending

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

MEDERI LIFE LLC

NPI: 1649834904 · ALBUQUERQUE, NM 87120 · Health Service Clinic/Center · NPI assigned 04/23/2019

$1.55M
Total Medicaid Paid
28,951
Total Claims
20,007
Beneficiaries
17
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPADILLA, LISA (MANAGER)
NPI Enumeration Date04/23/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,072 $135K
2020 5,710 $301K
2021 7,687 $339K
2022 6,708 $324K
2023 4,589 $267K
2024 2,185 $183K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,154 9,585 $990K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,289 1,003 $148K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 961 946 $138K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,186 3,176 $82K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,187 968 $75K
80305 3,632 2,677 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 192 192 $19K
93922 223 220 $17K
99205 Prolong outpt/office vis 71 70 $12K
97014 578 307 $8K
97035 634 341 $6K
99215 Prolong outpt/office vis 32 24 $4K
97026 628 336 $3K
95923 24 24 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 73 55 $1K
36415 Collection of venous blood by venipuncture 75 71 $209.34
83036 Hemoglobin; glycosylated (A1C) 12 12 $96.42