NPI: 1306175922 · ESPANOLA, NM 87532 · Federally Qualified Health Center (FQHC) · NPI assigned 12/10/2009
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 12/10/2009 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,796 | $1.48M |
| 2019 | 7,140 | $1.09M |
| 2020 | 7,578 | $1.29M |
| 2021 | 6,625 | $1.15M |
| 2022 | 5,303 | $904K |
| 2023 | 5,295 | $830K |
| 2024 | 5,522 | $894K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 20,839 | 8,457 | $3.65M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,774 | 4,283 | $1.05M |
| 90834 | Psychotherapy, 45 minutes with patient | 3,688 | 2,209 | $659K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3,461 | 1,843 | $577K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,630 | 2,404 | $389K |
| 90791 | Psychiatric diagnostic evaluation | 1,910 | 1,881 | $327K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,780 | 1,053 | $322K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,576 | 849 | $280K |
| 99441 | 907 | 698 | $156K | |
| Q3014 | Telehealth originating site facility fee | 2,326 | 1,443 | $125K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 170 | 112 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 163 | 137 | $28K |
| H0031 | Mental health assessment, by non-physician | 111 | 111 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 56 | 56 | $11K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 360 | 321 | $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 | 125 | 82 | $6K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 33 | 13 | $5K |
| 99442 | 20 | 15 | $3K | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 330 | 298 | $15.74 |