ST VINCENT HOSPITAL
NPI: 1770146391
· SANTA FE, NM 87505
· Family Medicine Physician
· NPI assigned 04/18/2019
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | WADE, HOPE (COO) |
| NPI Enumeration Date | 04/18/2019 |
Related Entities
Other providers sharing the same authorized official: WADE, HOPE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
849 |
$42K |
| 2020 |
846 |
$57K |
| 2021 |
356 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
624 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
200 |
$12K |
| 80305 |
|
588 |
388 |
$7K |
| 0001A |
|
198 |
195 |
$5K |
| 99443 |
|
26 |
20 |
$3K |
| 0002A |
|
68 |
66 |
$2K |
| 91300 |
|
59 |
57 |
$0.33 |