NPI: 1215037379 · ROSWELL, NM 88201 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,437 | $2.06M |
| 2019 | 11,086 | $1.40M |
| 2020 | 8,185 | $1.15M |
| 2021 | 8,464 | $1.28M |
| 2022 | 7,241 | $987K |
| 2023 | 34,200 | $2.12M |
| 2024 | 52,869 | $1.97M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,709 | 12,046 | $2.05M | |
| H2017 | Psysoc rehab svc, per 15 min | 8,423 | 1,408 | $1.91M |
| D0999 | 8,356 | 6,801 | $1.61M | |
| H2015 | Comp comm supp svc, 15 min | 8,110 | 3,133 | $1.39M |
| 90834 | 7,910 | 6,478 | $1.30M | |
| 90837 | 4,007 | 3,270 | $620K | |
| 99213 | 5,381 | 4,764 | $580K | |
| 99215 | Prolong outpt/office vis | 3,338 | 3,138 | $480K |
| 90791 | 2,156 | 2,128 | $347K | |
| 90832 | 1,783 | 1,629 | $297K | |
| 1000F | 4,071 | 3,428 | $99K | |
| 1126F | 6,383 | 5,300 | $63K | |
| G0467 | Fqhc visit, estab pt | 3,444 | 2,968 | $43K |
| 99391 | 211 | 192 | $36K | |
| 99392 | 196 | 196 | $36K | |
| 99393 | 132 | 132 | $25K | |
| 99394 | 130 | 129 | $23K | |
| 1125F | 988 | 905 | $10K | |
| 1220F | 1,904 | 1,692 | $9K | |
| 1159F | 5,956 | 4,931 | $7K | |
| 90853 | 24 | 13 | $5K | |
| 90792 | 15 | 13 | $2K | |
| 99204 | 12 | 12 | $2K | |
| 87635 | 325 | 320 | $2K | |
| 90471 | 192 | 185 | $540.12 | |
| 90460 | 868 | 867 | $395.43 | |
| 87804 | 401 | 393 | $391.41 | |
| 3044F | 527 | 469 | $388.78 | |
| 2000F | 5,850 | 5,011 | $385.66 | |
| 90461 | 486 | 479 | $383.91 | |
| 2001F | 6,988 | 5,820 | $191.31 | |
| 3008F | 6,082 | 5,180 | $183.91 | |
| 3078F | 3,962 | 3,433 | $183.64 | |
| 3077F | 477 | 457 | $183.45 | |
| 90686 | 308 | 298 | $165.37 | |
| 87880 | 63 | 62 | $136.12 | |
| 36415 | 40 | 37 | $86.69 | |
| 1170F | 130 | 130 | $40.56 | |
| 1101F | 15 | 15 | $22.17 | |
| 1160F | 5,950 | 4,926 | $0.46 | |
| 3074F | 4,588 | 3,919 | $0.34 | |
| 3079F | 1,529 | 1,436 | $0.16 | |
| 4000F | 2,575 | 2,286 | $0.12 | |
| 3080F | 319 | 310 | $0.11 | |
| 3075F | 589 | 567 | $0.08 | |
| D0274 | 615 | 613 | $0.00 | |
| D1120 | 389 | 389 | $0.00 | |
| 3210F | 185 | 154 | $0.00 | |
| D0220 | 1,339 | 1,312 | $0.00 | |
| D0330 | 74 | 74 | $0.00 | |
| D2391 | 30 | 24 | $0.00 | |
| D1110 | 143 | 143 | $0.00 | |
| 3288F | 64 | 63 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| D1206 | 215 | 215 | $0.00 | |
| D0230 | 831 | 815 | $0.00 | |
| Q3014 | Telehealth facility fee | 741 | 703 | $0.00 |
| D0120 | 154 | 154 | $0.00 | |
| D0150 | 382 | 380 | $0.00 | |
| D1208 | 177 | 177 | $0.00 | |
| G0008 | Admin influenza virus vac | 73 | 73 | $0.00 |
| D0140 | 115 | 113 | $0.00 | |
| 90656 | 40 | 37 | $0.00 |