NPI: 1013937408 · SANTA FE, NM 87505 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,755 | $157K |
| 2019 | 2,171 | $191K |
| 2020 | 2,078 | $179K |
| 2021 | 2,717 | $227K |
| 2022 | 2,993 | $232K |
| 2023 | 2,678 | $230K |
| 2024 | 2,927 | $278K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77067 | 4,886 | 4,803 | $620K | |
| 77063 | 4,801 | 4,724 | $242K | |
| 73721 | 533 | 508 | $101K | |
| 77066 | Tomosynthesis, mammo | 550 | 536 | $78K |
| 76642 | 1,083 | 899 | $75K | |
| 76830 | 606 | 596 | $60K | |
| 76856 | 608 | 603 | $56K | |
| 73221 | 224 | 217 | $41K | |
| 77065 | Tomosynthesis, mammo | 328 | 309 | $35K |
| 71046 | 1,180 | 1,158 | $30K | |
| 72148 | 182 | 179 | $26K | |
| 76641 | 265 | 168 | $25K | |
| 76700 | 238 | 236 | $24K | |
| 77062 | 222 | 216 | $21K | |
| 70553 | 64 | 55 | $19K | |
| 73630 | 365 | 334 | $10K | |
| A9579 | Gad-base mr contrast nos,1ml | 383 | 377 | $8K |
| 77080 | 179 | 174 | $5K | |
| A9585 | Gadobutrol injection | 215 | 208 | $4K |
| 72141 | 12 | 12 | $3K | |
| 73562 | 46 | 39 | $2K | |
| 72100 | 38 | 38 | $2K | |
| 76817 | 12 | 12 | $1K | |
| 76815 | 12 | 12 | $1K | |
| 76536 | 13 | 12 | $1K | |
| 76705 | 17 | 17 | $1K | |
| 77089 | 50 | 49 | $1K | |
| 73610 | 40 | 39 | $985.51 | |
| 73130 | 29 | 24 | $772.14 | |
| 77061 | 13 | 13 | $507.18 | |
| 72110 | 12 | 12 | $486.22 | |
| 76882 | 13 | 12 | $316.16 | |
| Q9967 | Locm 300-399mg/ml iodine,1ml | 64 | 62 | $314.95 |
| S9999 | Sales tax | 12 | 12 | $74.89 |
| J3490 | Drugs unclassified injection | 24 | 13 | $3.37 |