SIERRA BLANCA FAMILY MEDICINE PC
NPI: 1992132500
· RUIDOSO, NM 88345
· 207Q00000X
$450K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,392 |
3,169 |
$202K |
| 99214 |
|
1,595 |
1,541 |
$134K |
| 99202 |
|
655 |
651 |
$42K |
| 99215 |
Prolong outpt/office vis |
310 |
292 |
$33K |
| 87651 |
|
623 |
614 |
$23K |
| 99203 |
|
67 |
66 |
$7K |
| 99394 |
|
28 |
28 |
$3K |
| 87880 |
|
93 |
92 |
$1K |
| 99393 |
|
13 |
13 |
$1K |
| 90674 |
|
53 |
52 |
$1K |
| 90460 |
|
43 |
43 |
$1K |
| 90461 |
|
21 |
12 |
$542.66 |
| 90471 |
|
13 |
13 |
$284.38 |
| 96372 |
|
14 |
14 |
$203.09 |
| J3301 |
Triamcinolone acet inj nos |
16 |
15 |
$114.00 |