NPI: 1023186707 · OJO ENCINO, NM 87013 · Non-Pharmacy Dispensing Site · NPI assigned 12/01/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 12/01/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 433 | $58K |
| 2019 | 344 | $44K |
| 2020 | 379 | $53K |
| 2021 | 959 | $108K |
| 2022 | 1,014 | $131K |
| 2023 | 1,332 | $138K |
| 2024 | 607 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,981 | 1,774 | $304K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,176 | 1,038 | $167K |
| 99441 | 381 | 357 | $62K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 293 | 259 | $45K |
| H0049 | Alcohol and/or drug screening | 556 | 520 | $6K |
| 0011A | 47 | 45 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 27 | 27 | $5K |
| 0012A | 45 | 41 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17 | 17 | $3K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 35 | 26 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17 | 17 | $550.17 |
| 87428 | 86 | 86 | $550.17 | |
| 81002 | 14 | 14 | $388.78 | |
| 90686 | 75 | 75 | $179.62 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 30 | 29 | $0.00 |
| 80061 | Lipid panel | 12 | 12 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 76 | 75 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 75 | 70 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 56 | 56 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 16 | 16 | $0.00 |
| 91301 | 41 | 41 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 12 | 12 | $0.00 |