NPI: 1346697471 · ROCKY FORD, CO 81067 · 385H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 323 | $3K |
| 2021 | 1,949 | $21K |
| 2022 | 2,240 | $83K |
| 2023 | 3,130 | $646K |
| 2024 | 6,654 | $937K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 94060 | 1,285 | 1,187 | $1.62M | |
| 97530 | 4,498 | 674 | $29K | |
| 94760 | 1,985 | 1,823 | $16K | |
| 97110 | 2,626 | 458 | $11K | |
| 94010 | 1,255 | 1,181 | $8K | |
| Q3014 | Telehealth facility fee | 473 | 364 | $1K |
| 94664 | 218 | 205 | $1K | |
| 97112 | 353 | 123 | $1K | |
| 97140 | 282 | 58 | $123.95 | |
| 94640 | 195 | 184 | $40.51 | |
| 90677 | 17 | 13 | $21.52 | |
| 94761 | 301 | 291 | $6.50 | |
| 97116 | 570 | 129 | $0.00 | |
| 97533 | 74 | 15 | $0.00 | |
| 97162 | 28 | 28 | $0.00 | |
| 97535 | 119 | 33 | $0.00 | |
| 97166 | 17 | 17 | $0.00 |