NPI: 1225076003 · FARMINGTON, NM 87401 · 207RE0101X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,497 | $99K |
| 2019 | 2,712 | $138K |
| 2020 | 1,946 | $129K |
| 2021 | 3,889 | $224K |
| 2022 | 4,793 | $257K |
| 2023 | 4,385 | $328K |
| 2024 | 3,342 | $343K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 13,799 | 12,831 | $1.06M | |
| 99213 | 3,492 | 3,288 | $187K | |
| 99215 | Prolong outpt/office vis | 1,784 | 1,680 | $174K |
| 99309 | 800 | 789 | $24K | |
| 99204 | 126 | 122 | $15K | |
| 99223 | Prolong inpt eval add15 m | 56 | 54 | $8K |
| 99205 | Prolong outpt/office vis | 43 | 41 | $7K |
| 83036 | 1,002 | 981 | $7K | |
| 99442 | 114 | 102 | $6K | |
| 94726 | 526 | 517 | $5K | |
| 98968 | 153 | 102 | $4K | |
| 99443 | 52 | 45 | $4K | |
| 99203 | 49 | 47 | $4K | |
| 90471 | 176 | 173 | $3K | |
| 94729 | 527 | 518 | $3K | |
| 90686 | 169 | 164 | $2K | |
| 98967 | 120 | 81 | $2K | |
| 94010 | 209 | 204 | $2K | |
| 90656 | 52 | 51 | $727.12 | |
| 99211 | 55 | 40 | $702.84 | |
| 98966 | 64 | 46 | $675.45 | |
| 99441 | 20 | 14 | $593.35 | |
| 99212 | 17 | 14 | $522.16 | |
| 99318 | 26 | 26 | $430.14 | |
| 96372 | 14 | 13 | $183.33 | |
| 0012A | 17 | 15 | $120.08 | |
| 94060 | 12 | 12 | $95.57 | |
| 99072 | 72 | 62 | $0.00 | |
| G0008 | Admin influenza virus vac | 18 | 13 | $0.00 |