NPI: 1083687115 · SANTA TERESA, NM 88008 · Federally Qualified Health Center (FQHC) · NPI assigned 02/09/2006
Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
| Authorized Official | MEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 02/09/2006 |
Other providers sharing the same authorized official: MEDINA, VIRGIL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,268 | $170K |
| 2019 | 1,347 | $208K |
| 2020 | 373 | $53K |
| 2021 | 521 | $86K |
| 2022 | 896 | $146K |
| 2023 | 677 | $122K |
| 2024 | 571 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,717 | 2,273 | $459K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,619 | 1,201 | $287K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 331 | 304 | $55K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 145 | 89 | $25K |
| 99441 | 131 | 128 | $23K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 125 | 125 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 48 | 47 | $8K |
| 90834 | Psychotherapy, 45 minutes with patient | 42 | 38 | $7K |
| 81025 | 399 | 346 | $4K | |
| 99384 | 21 | 21 | $3K | |
| 85018 | 63 | 62 | $477.22 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12 | 12 | $241.63 |