NPI: 1790183135 · ALBUQUERQUE, NM 87102 · Hematology & Oncology Physician · NPI assigned 12/17/2014
Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more
| Authorized Official | PETROVICH, STEPHEN (SVP) |
| Parent Organization | ARDENT LEGACY HOLDINGS, LLC |
| NPI Enumeration Date | 12/17/2014 |
Other providers sharing the same authorized official: PETROVICH, STEPHEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $57.71M |
| LOVELACE HEALTH SYSTEM LLC | ALBUQUERQUE | NM | $45.27M |
| SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | NM | $41.40M |
| LOVELACE HEALTH SYSTEM, LLC | ALBUQUERQUE | NM | $31.24M |
| LOVELACE HEALTH SYSTEM LLC | ROSWELL | NM | $20.13M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $9.41M |
| HENDERSON HOSPITAL, LLC | HENDERSON | TX | $8.52M |
| ATHENS HOSPITAL, LLC | ATHENS | TX | $8.32M |
| ETMC PHYSICIAN GROUP INC. | TYLER | TX | $8.03M |
| TYLER REGIONAL HOSPITAL LLC | TYLER | TX | $7.94M |
| LOVELACE UNM REHABILITATION HOSPITAL LLC | ALBUQUERQUE | NM | $6.30M |
| POCATELLO HOSPITAL LLC | POCATELLO | ID | $6.11M |
| JACKSONVILLE HOSPITAL LLC | JACKSONVILLE | TX | $5.93M |
| AHS PRYOR HOSPITAL, LLC | PRYOR | OK | $5.61M |
| BSA HOSPITAL LLC | AMARILLO | TX | $4.96M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $4.83M |
| AHS CLAREMORE REGIONAL HOSPITAL, LLC. | CLAREMORE | OK | $4.81M |
| AHS HENRYETTA HOSPITAL LLC | HENRYETTA | OK | $4.27M |
| PITTSBURG HOSPITAL LLC | PITTSBURG | TX | $3.98M |
| TOPEKA HOSPITAL, LLC | TOPEKA | KS | $3.94M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 881 | $45K |
| 2019 | 951 | $61K |
| 2020 | 598 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 931 | 842 | $64K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 381 | 295 | $34K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 714 | 678 | $33K |
| 96375 | Therapeutic injection; each additional sequential IV push | 195 | 148 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 61 | 53 | $3K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25 | 25 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 14 | 14 | $1K |
| 99205 | Prolong outpt/office vis | 15 | 12 | $1K |
| 96417 | 21 | 12 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 73 | 55 | $75.36 |