Medicaid Provider Spending

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

SIERRA BLANCA FAMILY MEDICINE PC

NPI: 1992132500 · RUIDOSO, NM 88345 · Family Medicine Physician · NPI assigned 09/27/2013

$450K
Total Medicaid Paid
6,936
Total Claims
6,615
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialDIMOTTA, FRANK (PROVIDER OWNER)
NPI Enumeration Date09/27/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,371 $72K
2019 1,834 $115K
2020 1,222 $87K
2021 1,130 $83K
2022 1,346 $92K
2023 33 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,392 3,169 $202K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,595 1,541 $134K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 655 651 $42K
99215 Prolong outpt/office vis 310 292 $33K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 623 614 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67 66 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 93 92 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
90674 53 52 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 43 43 $1K
90461 21 12 $542.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $284.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $203.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 15 $114.00