MEDCLUB VIP LLC
NPI: 1932600673
· ALBUQUERQUE, NM 87107
· Addiction Medicine (Psychiatry & Neurology) Physician
· NPI assigned 02/27/2018
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | CARDENAS, RICK (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 02/27/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
619 |
$52K |
| 2019 |
1,307 |
$86K |
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 |
911 |
543 |
$65K |
| 99215 |
Prolong outpt/office vis |
390 |
307 |
$42K |
| 99205 |
Prolong outpt/office vis |
144 |
133 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
110 |
$5K |
| 80305 |
|
245 |
137 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
24 |
$697.80 |
| 97014 |
|
30 |
12 |
$437.03 |
| 97035 |
|
28 |
12 |
$309.65 |