NPI: 1326115338 · CLOUDCROFT, NM 88317 · Non-Pharmacy Dispensing Site · NPI assigned 11/29/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 539 | $73K |
| 2019 | 515 | $69K |
| 2020 | 398 | $66K |
| 2021 | 423 | $53K |
| 2022 | 455 | $59K |
| 2023 | 521 | $75K |
| 2024 | 289 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,097 | 1,846 | $291K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 687 | 591 | $100K |
| 99441 | 223 | 215 | $39K | |
| 99442 | 46 | 44 | $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 | 18 | 13 | $514.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15 | 14 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 27 | 27 | $0.00 |
| 36416 | 27 | 27 | $0.00 |