Medicaid Provider Spending

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

ST. VINCENT HOSPITAL

NPI: 1982104709 · SANTA FE, NM 87505 · Dermatology Physician · NPI assigned 02/19/2018

$358K
Total Medicaid Paid
5,410
Total Claims
5,293
Beneficiaries
12
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTOYA, LILLIAN (CEO)
NPI Enumeration Date02/19/2018

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 $62K
ST VINCENT HOSPITAL SANTA FE NM $11K
ST. VINCENT HOSPITAL SANTA FE NM $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $8K
2019 1,031 $60K
2020 740 $43K
2021 1,348 $99K
2022 1,214 $83K
2023 424 $33K
2024 491 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 999 989 $83K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,325 1,304 $76K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,228 1,223 $72K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 518 516 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 293 293 $37K
17110 555 487 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 156 152 $5K
99201 85 84 $3K
17000 45 42 $1K
17003 27 25 $565.19
3078F 62 62 $0.00
3074F 117 116 $0.00