Medicaid Provider Spending

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

KIDNEY WELLNESS CENTER LC

NPI: 1932848785 · LAS CRUCES, NM 88011 · Nephrology Physician · NPI assigned 05/31/2022

$89K
Total Medicaid Paid
5,449
Total Claims
4,383
Beneficiaries
18
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE LA VEGA, OSVALDO (MANAGING MEMBER)
NPI Enumeration Date05/31/2022

Related Entities

Other providers sharing the same authorized official: DE LA VEGA, OSVALDO

ProviderCityStateTotal Paid
SOUTHWEST HEALTH SERVICES, PA LAS CRUCES NM $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,873 $25K
2024 2,576 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 427 370 $32K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 157 154 $28K
90961 168 165 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61 53 $3K
99223 Prolong inpt eval add15 m 13 12 $2K
M1171 Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period 468 368 $0.00
M1177 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 457 359 $0.00
M1200 Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period 463 366 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 287 229 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 287 229 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 20 12 $0.00
1036F 20 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 524 411 $0.00
M1189 Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed 381 297 $0.00
M1168 Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period 473 372 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 536 416 $0.00
M1174 Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period 470 369 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 237 189 $0.00