NPI: 1124134028 · SANTA FE, NM 87505 · Federally Qualified Health Center (FQHC) · NPI assigned 08/22/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 08/22/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26,405 | $3.37M |
| 2019 | 15,729 | $1.83M |
| 2020 | 11,676 | $1.58M |
| 2021 | 14,072 | $2.15M |
| 2022 | 17,740 | $2.73M |
| 2023 | 11,343 | $1.65M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17,053 | 12,112 | $2.33M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 11,250 | 1,851 | $1.95M |
| H2015 | Comprehensive community support services, per 15 minutes | 9,830 | 2,930 | $1.73M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,528 | 10,596 | $1.65M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 7,611 | 3,641 | $1.27M |
| 90834 | Psychotherapy, 45 minutes with patient | 6,744 | 3,880 | $1.13M |
| 90837 | Psychotherapy, 53 minutes with patient | 6,293 | 3,337 | $1.04M |
| 99442 | 2,169 | 1,684 | $366K | |
| 90832 | Psychotherapy, 30 minutes with patient | 2,063 | 1,392 | $351K |
| 90791 | Psychiatric diagnostic evaluation | 1,861 | 1,839 | $312K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,877 | 1,443 | $229K |
| 99441 | 1,223 | 991 | $205K | |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 863 | 227 | $144K |
| 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 | 5,512 | 3,685 | $122K |
| Q3014 | Telehealth originating site facility fee | 1,946 | 1,231 | $111K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 2,398 | 2,065 | $111K |
| 99443 | 379 | 345 | $62K | |
| 99215 | Prolong outpt/office vis | 421 | 353 | $58K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1,526 | 1,109 | $53K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 171 | 158 | $24K |
| H2011 | Crisis intervention service, per 15 minutes | 142 | 120 | $23K |
| 0011A | 92 | 89 | $15K | |
| 0012A | 61 | 60 | $10K | |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 49 | 13 | $8K |
| 36415 | Collection of venous blood by venipuncture | 583 | 563 | $5K |
| 0013A | 34 | 32 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 153 | 124 | $4K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1,506 | 1,340 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16 | 13 | $2K |
| 0144A | 18 | 15 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 70 | 70 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 114 | 112 | $1K |
| 80305 | 34 | 31 | $862.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 70 | 70 | $683.31 |
| 90688 | 46 | 46 | $504.82 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 44 | 44 | $366.78 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 34 | 31 | $0.00 |
| 80306 | 34 | 31 | $0.00 | |
| 80061 | Lipid panel | 27 | 27 | $0.00 |
| 80053 | Comprehensive metabolic panel | 120 | 120 | $0.00 |