NPI: 1225117773 · MOUNTAINAIR, NM 87036 · Non-Pharmacy Dispensing Site · NPI assigned 11/03/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/03/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,163 | $219K |
| 2019 | 1,671 | $183K |
| 2020 | 902 | $129K |
| 2021 | 1,069 | $158K |
| 2022 | 1,232 | $175K |
| 2023 | 1,189 | $168K |
| 2024 | 1,004 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,461 | 3,115 | $518K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,548 | 2,299 | $363K |
| H2015 | Comprehensive community support services, per 15 minutes | 656 | 241 | $115K |
| 90834 | Psychotherapy, 45 minutes with patient | 379 | 224 | $68K |
| 99441 | 209 | 201 | $33K | |
| 99442 | 177 | 167 | $29K | |
| Q3014 | Telehealth originating site facility fee | 323 | 179 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 61 | 60 | $10K |
| 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 | 343 | 240 | $9K |
| 90837 | Psychotherapy, 53 minutes with patient | 30 | 17 | $4K |
| 0012A | 25 | 25 | $4K | |
| 0011A | 25 | 25 | $3K | |
| 99443 | 13 | 13 | $2K | |
| 0013A | 12 | 12 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 142 | 142 | $164.34 |
| 36415 | Collection of venous blood by venipuncture | 499 | 480 | $40.75 |
| 90461 | 13 | 13 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 14 | $0.00 |
| 90651 | 13 | 13 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 70 | 68 | $0.00 |
| 80053 | Comprehensive metabolic panel | 73 | 72 | $0.00 |
| 90688 | 29 | 29 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30 | 30 | $0.00 |
| 90686 | 85 | 85 | $0.00 |