Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › SANTA FE › ST. VINCENT HOSPITAL

ST. VINCENT HOSPITAL

NPI: 1710289814 · SANTA FE, NM 87501 · Pediatrics Physician · NPI assigned 11/22/2010

$109K
Total Medicaid Paid
1,862
Total Claims
1,713
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialTASSIN, BRUCE (PRESIDENT/CEO)
NPI Enumeration Date11/22/2010

Related Entities

Other providers sharing the same authorized official: TASSIN, BRUCE

ProviderCityStateTotal Paid
ST. VINCENT HOSPITAL SANTA FE NM $2.02M
ST. VINCENT HOSPITAL SANTA FE NM $664K
ST. VINCENT HOSPITAL SANTA FE NM $135K
ST. VINCENT HOSPITAL SANTA FE NM $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 899 $48K
2019 680 $43K
2020 283 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,529 1,394 $92K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 304 290 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $217.61
90686 15 15 $213.70