STATE OF NEW MEXICO
NPI: 1982730669
· SANTA CLARA, NM 88026
· Nursing Facility/Intermediate Care Facility
· NPI assigned 02/26/2007
Deactivated NPI
· This NPI was deactivated on 02/13/2017. Reactivated 02/22/2017.
Provider Details
| Authorized Official | BAYS, SHERRI (CFO) |
| Parent Organization | NM DEPARTMENT OF HEALTH |
| NPI Enumeration Date | 02/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$1K |
| 2020 |
12 |
$146.45 |
| 2021 |
28 |
$341.29 |
| 2022 |
46 |
$2K |
| 2023 |
86 |
$689.85 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
86 |
86 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
78 |
67 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
45 |
24 |
$73.10 |
| 93000 |
|
13 |
13 |
$58.07 |