NPI: 1295215713 · SANTA TERESA, NM 88008 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,131 | $94K |
| 2020 | 2,493 | $94K |
| 2021 | 3,015 | $101K |
| 2022 | 51 | $820.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4346 | 510 | 510 | $61K | |
| D2392 | 602 | 248 | $45K | |
| D0150 | 1,203 | 1,202 | $42K | |
| D2393 | 384 | 165 | $34K | |
| D0274 | 844 | 844 | $25K | |
| D1120 | 586 | 585 | $19K | |
| D0220 | 1,200 | 1,196 | $14K | |
| D0210 | 215 | 204 | $12K | |
| D0230 | 1,095 | 1,059 | $10K | |
| D1206 | 367 | 367 | $7K | |
| D2391 | 116 | 52 | $6K | |
| D1110 | 128 | 128 | $6K | |
| D1208 | 208 | 205 | $4K | |
| D0120 | 156 | 156 | $4K | |
| D9110 | 33 | 33 | $2K | |
| D9230 | 16 | 15 | $413.48 | |
| D0140 | 14 | 14 | $383.78 | |
| D0330 | 13 | 13 | $150.31 |