NPI: 1114960093 · CROWNPOINT, NM 87313 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,103 | $460K |
| 2019 | 3,608 | $441K |
| 2020 | 10,189 | $3.76M |
| 2021 | 18,692 | $8.66M |
| 2022 | 15,876 | $8.66M |
| 2023 | 12,337 | $7.02M |
| 2024 | 10,398 | $6.30M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth facility fee | 49,098 | 35,813 | $28.56M |
| 99213 | 13,706 | 10,106 | $1.55M | |
| 0001A | 1,565 | 1,562 | $799K | |
| 99211 | 1,847 | 1,652 | $715K | |
| 87635 | 1,340 | 1,218 | $711K | |
| 0002A | 1,338 | 1,338 | $692K | |
| 0011A | 578 | 576 | $293K | |
| 0003A | 497 | 497 | $251K | |
| 0012A | 483 | 481 | $248K | |
| 0071A | 427 | 423 | $235K | |
| 0054A | 363 | 360 | $198K | |
| 0072A | 331 | 331 | $192K | |
| 0064A | 287 | 284 | $151K | |
| 99282 | 762 | 712 | $146K | |
| 0004A | 224 | 224 | $128K | |
| 99212 | 306 | 291 | $83K | |
| 0124A | 142 | 142 | $64K | |
| 0013A | 104 | 104 | $52K | |
| 99283 | 166 | 158 | $45K | |
| 90480 | 107 | 107 | $41K | |
| 0052A | 44 | 43 | $26K | |
| 99214 | 209 | 181 | $22K | |
| 0051A | 30 | 30 | $16K | |
| D0140 | 31 | 28 | $16K | |
| 65400 | 93 | 72 | $15K | |
| 99281 | 49 | 48 | $15K | |
| 0134A | 29 | 29 | $12K | |
| 0074A | 13 | 13 | $8K | |
| 99443 | 137 | 133 | $5K | |
| 99222 | 42 | 40 | $4K | |
| 90656 | 36 | 36 | $3K | |
| 92014 | 59 | 54 | $2K | |
| 99238 | 28 | 27 | $1K | |
| G0008 | Admin influenza virus vac | 330 | 327 | $899.54 |
| 92012 | 29 | 18 | $799.58 | |
| 90662 | 62 | 62 | $760.75 | |
| Q2038 | Fluzone vacc, 3 yrs & >, im | 160 | 157 | $332.16 |
| 90694 | 30 | 30 | $317.86 | |
| U0002 | Covid-19 lab test non-cdc | 29 | 28 | $288.24 |
| 97110 | 30 | 15 | $265.73 | |
| 90686 | 15 | 15 | $142.74 | |
| 20610 | 14 | 14 | $131.43 | |
| 91320 | 17 | 17 | $43.44 | |
| 90471 | 16 | 16 | $0.00 |