NPI: 1285899054 · ESPANOLA, NM 87532 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,237 | $255K |
| 2019 | 1,987 | $41K |
| 2020 | 8,487 | $811K |
| 2021 | 5,245 | $621K |
| 2022 | 2,617 | $251K |
| 2023 | 7,725 | $751K |
| 2024 | 5,453 | $440K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 9,565 | 8,145 | $1.17M | |
| 99214 | 6,847 | 6,179 | $963K | |
| 99212 | 1,919 | 1,620 | $208K | |
| D0999 | 1,264 | 1,074 | $204K | |
| 90834 | 878 | 570 | $124K | |
| G0467 | Fqhc visit, estab pt | 4,287 | 3,371 | $98K |
| H0038 | Self-help/peer svc per 15min | 550 | 442 | $96K |
| G2025 | Dis site tele svcs rhc/fqhc | 1,410 | 983 | $56K |
| 99442 | 241 | 214 | $34K | |
| 99392 | 170 | 170 | $29K | |
| 99391 | 173 | 168 | $27K | |
| 99441 | 202 | 182 | $26K | |
| 0012A | 113 | 113 | $19K | |
| 90837 | 94 | 70 | $17K | |
| H0049 | Alcohol/drug screening | 106 | 106 | $14K |
| 90832 | 121 | 92 | $12K | |
| 0011A | 68 | 68 | $11K | |
| H2030 | Mh clubhouse svc, per 15 min | 49 | 41 | $10K |
| 80305 | 1,516 | 1,407 | $10K | |
| 90471 | 1,139 | 1,099 | $5K | |
| G0071 | Comm svcs by rhc/fqhc 5 min | 116 | 87 | $4K |
| 99211 | 21 | 20 | $4K | |
| 99443 | 22 | 22 | $4K | |
| 0064A | 25 | 25 | $4K | |
| 96372 | 603 | 563 | $3K | |
| 99204 | 15 | 15 | $2K | |
| 99393 | 13 | 13 | $2K | |
| 0124A | 34 | 33 | $2K | |
| 0013A | 14 | 13 | $2K | |
| 90670 | 116 | 116 | $2K | |
| 90688 | 233 | 224 | $1K | |
| 83036 | 352 | 347 | $1K | |
| 99000 | 152 | 147 | $1K | |
| 90791 | 14 | 13 | $990.00 | |
| 0134A | 17 | 17 | $627.53 | |
| 81002 | 221 | 183 | $547.33 | |
| 0004A | 42 | 41 | $538.86 | |
| 0002A | 15 | 15 | $538.86 | |
| 87811 | 89 | 85 | $534.34 | |
| 90677 | 13 | 13 | $485.84 | |
| 0001A | 20 | 16 | $359.24 | |
| 36415 | 861 | 824 | $300.90 | |
| 87804 | 14 | 14 | $100.82 | |
| 85610 | 80 | 66 | $66.75 | |
| Q2036 | Flulaval vacc, 3 yrs & >, im | 55 | 53 | $56.20 |
| 90715 | 13 | 13 | $51.06 | |
| J1050 | Medroxyprogesterone acetate | 12 | 12 | $26.61 |
| 90686 | 68 | 67 | $17.28 | |
| 81025 | 28 | 28 | $17.00 | |
| G0008 | Admin influenza virus vac | 13 | 12 | $13.06 |
| 90723 | 12 | 12 | $10.92 | |
| 90698 | 12 | 12 | $8.98 | |
| 90648 | 18 | 18 | $5.46 | |
| 1220F | 52 | 52 | $0.00 | |
| 3008F | 608 | 573 | $0.00 | |
| 3351F | 34 | 34 | $0.00 | |
| 4010F | 12 | 12 | $0.00 |