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: 1861968521 · SANTA FE, NM 87505 · Family Medicine Physician · NPI assigned 10/22/2018

$11K
Total Medicaid Paid
284
Total Claims
281
Beneficiaries
3
Codes Billed
2018-11
First Month
2020-09
Last Month

Provider Details

Authorized OfficialMONTOYA, LILLIAN (CEO)
NPI Enumeration Date10/22/2018

Related Entities

Other providers sharing the same authorized official: MONTOYA, LILLIAN

ProviderCityStateTotal Paid
ST. VINCENT HOSPITAL SANTA FE NM $3.17M
ST. VINCENT HOSPITAL SANTA FE NM $1.08M
ST VINCENT HOSPITAL SANTA FE NM $562K
ST. VINCENT HOSPITAL SANTA FE NM $412K
ST. VINCENT HOSPITAL SANTA FE NM $358K
ST VINCENT HOSPITAL SANTA FE NM $62K
ST. VINCENT HOSPITAL SANTA FE NM $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $0.00
2019 216 $9K
2020 56 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 153 152 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 114 112 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 17 $264.18