NPI: 1225140783 · GALLUP, NM 87301 · Federally Qualified Health Center (FQHC) · NPI assigned 08/31/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 08/31/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,536 | $237K |
| 2019 | 711 | $103K |
| 2020 | 2,569 | $405K |
| 2021 | 2,549 | $434K |
| 2022 | 3,041 | $514K |
| 2023 | 3,400 | $536K |
| 2024 | 3,062 | $519K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 4,438 | 2,115 | $774K |
| 90834 | Psychotherapy, 45 minutes with patient | 3,742 | 2,624 | $659K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,742 | 2,603 | $441K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,788 | 1,273 | $316K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,144 | 884 | $200K |
| 90791 | Psychiatric diagnostic evaluation | 792 | 768 | $139K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 476 | 453 | $73K |
| Q3014 | Telehealth originating site facility fee | 1,008 | 741 | $39K |
| H2010 | Comprehensive medication services, per 15 minutes | 226 | 216 | $35K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 130 | 122 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 124 | 52 | $21K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 115 | 28 | $19K |
| 99215 | Prolong outpt/office vis | 46 | 41 | $8K |
| 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 | 83 | 70 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 14 | 12 | $414.67 |