NPI: 1205902376 · GRANTS, NM 87020 · Non-Pharmacy Dispensing Site · NPI assigned 11/28/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/28/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,781 | $1.30M |
| 2019 | 14,534 | $1.32M |
| 2020 | 15,694 | $1.85M |
| 2021 | 14,938 | $1.84M |
| 2022 | 13,345 | $1.46M |
| 2023 | 13,120 | $1.41M |
| 2024 | 9,368 | $1.07M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22,018 | 18,641 | $3.20M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14,568 | 12,690 | $1.96M |
| H2015 | Comprehensive community support services, per 15 minutes | 8,206 | 2,848 | $1.42M |
| 90832 | Psychotherapy, 30 minutes with patient | 4,131 | 2,613 | $716K |
| 90837 | Psychotherapy, 53 minutes with patient | 3,189 | 2,093 | $545K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,726 | 1,927 | $473K |
| 99441 | 2,671 | 2,304 | $446K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,018 | 1,609 | $313K |
| 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 | 6,037 | 4,483 | $199K |
| 99442 | 751 | 673 | $125K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 630 | 625 | $108K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 621 | 260 | $105K |
| 90791 | Psychiatric diagnostic evaluation | 606 | 586 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 409 | 401 | $71K |
| Q3014 | Telehealth originating site facility fee | 1,547 | 994 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 349 | 342 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 257 | 245 | $42K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 222 | 218 | $33K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 528 | 398 | $32K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 140 | 139 | $21K |
| 0011A | 158 | 155 | $19K | |
| 91300 | 124 | 107 | $19K | |
| 99443 | 106 | 98 | $18K | |
| 0012A | 137 | 136 | $17K | |
| 91301 | 108 | 106 | $16K | |
| 99408 | 89 | 76 | $16K | |
| 99215 | Prolong outpt/office vis | 99 | 89 | $13K |
| 0071A | 94 | 91 | $13K | |
| 0072A | 81 | 78 | $11K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 69 | 64 | $11K |
| 0064A | 75 | 74 | $11K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 55 | 39 | $9K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 53 | 51 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 41 | 41 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 25 | 24 | $4K |
| 0144A | 24 | 24 | $4K | |
| 91307 | 27 | 25 | $4K | |
| 0013A | 21 | 19 | $3K | |
| 0001A | 80 | 75 | $3K | |
| 36415 | Collection of venous blood by venipuncture | 3,785 | 3,599 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 13 | 13 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | 1,431 | 1,424 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,111 | 2,099 | $1K |
| 0002A | 67 | 64 | $1K | |
| 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 | 363 | 358 | $938.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 738 | 729 | $737.61 |
| 83036 | Hemoglobin; glycosylated (A1C) | 2,249 | 2,234 | $666.64 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 431 | 429 | $470.96 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1,389 | 1,383 | $403.56 |
| 81002 | 706 | 652 | $264.94 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 246 | 235 | $201.78 |
| 87428 | 603 | 593 | $150.89 | |
| 90688 | 335 | 334 | $146.71 | |
| 80053 | Comprehensive metabolic panel | 2,142 | 2,134 | $56.24 |
| G0008 | Administration of influenza virus vaccine | 51 | 50 | $53.78 |
| 90686 | 1,026 | 1,022 | $35.56 | |
| 90715 | 143 | 142 | $28.32 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 34 | 34 | $17.69 |
| 90670 | 99 | 99 | $14.54 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 102 | 99 | $9.59 |
| 86803 | 82 | 82 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 92 | 87 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 194 | 185 | $0.00 |
| 87522 | Neg quan hep c or qual rna | 12 | 12 | $0.00 |
| 90651 | 80 | 80 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 15 | 15 | $0.00 |
| 88142 | 48 | 40 | $0.00 | |
| 82607 | 24 | 24 | $0.00 | |
| 82043 | 58 | 58 | $0.00 | |
| 85027 | 41 | 41 | $0.00 | |
| 80061 | Lipid panel | 1,261 | 1,261 | $0.00 |
| 86703 | 233 | 233 | $0.00 | |
| 82274 | 57 | 57 | $0.00 | |
| 81025 | 50 | 50 | $0.00 | |
| 83540 | 12 | 12 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 187 | 185 | $0.00 |
| 82570 | 59 | 58 | $0.00 | |
| 90734 | 49 | 49 | $0.00 | |
| 90633 | 44 | 44 | $0.00 | |
| 90461 | 28 | 27 | $0.00 |