Medicaid Provider Spending

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

SMARTHEALTH ENTERPRISE LLC

NPI: 1952988701 · RUIDOSO, NM 88345 · Urgent Care Clinic/Center · NPI assigned 03/26/2021

$233K
Total Medicaid Paid
1,997
Total Claims
1,890
Beneficiaries
8
Codes Billed
2022-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTUMALAD, JOE (PRESIDENT)
NPI Enumeration Date03/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 388 $33K
2023 696 $78K
2024 913 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 600 598 $103K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 708 642 $92K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 156 147 $22K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 182 169 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 259 247 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 16 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 63 59 $896.87