Ludington, Douglas

Ludington, Douglas was paid $90K by Medicaid between Feb 2018 and Mar 2019, across 9 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 70% of everything it billed.

33Billing provider infoLUDINGTON, DOUGLAS
EDGEWOOD, NM 87015

33aNPI1982113445assigned 09/27/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$90K

24GClaims1,134

24DCodes billed9

24AFirst – last monthFeb 2018 – Mar 2019

Compared with peers

Next to other Family Nurse Practitioner providers in New Mexico

Rank by total paid#37 of 73

Median peer was paid$90K

This provider vs. median1.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	569	$54K
2019	565	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	70%	517	516	$63K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	21%	259	227	$19K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.5%	47	47	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.5%	143	107	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	67	34	$990.26
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	43	42	$278.40
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	12	12	$124.92
81002		<1%	29	28	$89.50
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	17	15	$31.13

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.