Medicaid Provider Spending

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

SOUTHERN NEW MEXICO DIAGNOSTICS LLC

NPI: 1730476748 · LAS CRUCES, NM 88011 · Mobile Radiology Clinic/Center · NPI assigned 06/29/2011

$21K
Total Medicaid Paid
321
Total Claims
228
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialHENDERSON, BRETT (OFFICER)
NPI Enumeration Date06/29/2011

Related Entities

Other providers sharing the same authorized official: HENDERSON, BRETT

ProviderCityStateTotal Paid
SOUTHERN NEW MEXICO NEUROSURGERY LLC LAS CRUCES NM $722.26

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 321 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93971 259 166 $15K
93970 62 62 $6K