NPI: 1346352143 · CLOVIS, NM 88101 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,836 | $390K |
| 2019 | 9,384 | $389K |
| 2020 | 9,352 | $286K |
| 2021 | 3,735 | $136K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 11,278 | 1,079 | $1.05M | |
| J0887 | Epoetin beta esrd use | 953 | 600 | $76K |
| J1756 | Iron sucrose injection | 1,668 | 519 | $37K |
| A4657 | Syringe w/wo needle | 5,900 | 712 | $8K |
| 83970 | 409 | 392 | $4K | |
| 84466 | 795 | 765 | $3K | |
| 84520 | 2,087 | 892 | $3K | |
| 85018 | 2,803 | 892 | $2K | |
| 80069 | 200 | 193 | $2K | |
| 82108 | 321 | 313 | $2K | |
| 82310 | 1,349 | 865 | $2K | |
| 82728 | 489 | 472 | $2K | |
| 83540 | 911 | 875 | $2K | |
| 85027 | 554 | 534 | $2K | |
| 84100 | 858 | 658 | $1K | |
| 84155 | 903 | 871 | $948.23 | |
| 82040 | 478 | 449 | $702.27 | |
| 85025 | 316 | 307 | $659.08 | |
| 80048 | 79 | 68 | $536.33 | |
| 87340 | 121 | 117 | $446.51 | |
| 84460 | 318 | 309 | $442.40 | |
| 84075 | 315 | 307 | $431.29 | |
| 82565 | 218 | 214 | $381.25 | |
| 80051 | 209 | 208 | $338.05 | |
| 82607 | 81 | 79 | $278.67 | |
| 82947 | 209 | 207 | $258.23 | |
| 82746 | 81 | 79 | $254.72 | |
| 86706 | 80 | 78 | $186.27 | |
| 83550 | 82 | 78 | $154.56 | |
| 83735 | 81 | 79 | $116.17 | |
| G0008 | Admin influenza virus vac | 52 | 51 | $76.51 |
| 84132 | 25 | 21 | $64.29 | |
| 86803 | 26 | 24 | $44.40 | |
| 90732 | 13 | 13 | $40.85 | |
| 90686 | 13 | 13 | $30.77 | |
| G0009 | Admin pneumococcal vaccine | 13 | 13 | $26.78 |
| 90688 | 19 | 18 | $17.55 |