NPI: 1285613836 · SANTA FE, NM 87505 · 282N00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,187 | $1.80M |
| 2019 | 5,791 | $1.52M |
| 2020 | 3,785 | $1.42M |
| 2021 | 5,874 | $2.61M |
| 2022 | 2,894 | $1.86M |
| 2023 | 2,904 | $1.92M |
| 2024 | 1,899 | $1.40M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99212 | 11,486 | 9,698 | $5.66M | |
| Q3014 | Telehealth facility fee | 5,226 | 4,330 | $2.81M |
| 99394 | 983 | 960 | $728K | |
| 99392 | 909 | 890 | $570K | |
| 99393 | 658 | 644 | $428K | |
| 99213 | 3,648 | 3,098 | $343K | |
| 99391 | 561 | 528 | $304K | |
| 0011A | 454 | 454 | $236K | |
| 0012A | 432 | 432 | $223K | |
| 0001A | 430 | 430 | $221K | |
| 0002A | 382 | 382 | $198K | |
| G0463 | Hospital outpt clinic visit | 2,205 | 1,489 | $176K |
| 0071A | 282 | 281 | $153K | |
| 0072A | 273 | 273 | $153K | |
| 99214 | 822 | 770 | $81K | |
| 99211 | 623 | 524 | $56K | |
| 0064A | 102 | 102 | $53K | |
| 0054A | 56 | 56 | $36K | |
| 51900 | 115 | 69 | $32K | |
| 0124A | 31 | 31 | $20K | |
| 92014 | 88 | 87 | $16K | |
| 0004A | 27 | 27 | $14K | |
| 0134A | 15 | 15 | $9K | |
| 87635 | 13 | 12 | $939.40 | |
| G0008 | Admin influenza virus vac | 310 | 307 | $123.24 |
| 90653 | 112 | 110 | $73.60 | |
| 90686 | 60 | 60 | $2.87 | |
| 90688 | 13 | 13 | $0.00 | |
| 90694 | 18 | 18 | $0.00 |