SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
NPI: 1215163639
· ANGEL FIRE, NM 87710
· Health Service Clinic/Center
· NPI assigned 06/01/2009
Provider Details
| Authorized Official | NORRIS, WILLIAM (ADMINISTRATOR) |
| Parent Organization | SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT |
| NPI Enumeration Date | 06/01/2009 |
Related Entities
Other providers sharing the same authorized official: NORRIS, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
315 |
$17K |
| 2019 |
39 |
$3K |
| 2020 |
117 |
$7K |
| 2021 |
205 |
$9K |
| 2022 |
235 |
$9K |
| 2023 |
547 |
$11K |
| 2024 |
144 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
512 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
301 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
24 |
$432.00 |
| 90674 |
|
18 |
18 |
$325.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$288.00 |
| 90658 |
|
24 |
24 |
$239.67 |
| 3008F |
|
231 |
212 |
$0.00 |
| 1036F |
|
83 |
71 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
29 |
26 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
47 |
36 |
$0.00 |
| 1159F |
|
85 |
68 |
$0.00 |
| 1160F |
|
85 |
68 |
$0.00 |
| 3725F |
|
30 |
30 |
$0.00 |