NPI: 1396824223 · COUNSELOR, NM 87018 · Non-Pharmacy Dispensing Site · NPI assigned 11/02/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 298 | $38K |
| 2019 | 134 | $18K |
| 2020 | 772 | $107K |
| 2021 | 413 | $58K |
| 2022 | 113 | $15K |
| 2023 | 67 | $10K |
| 2024 | 61 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 861 | 777 | $125K |
| 99441 | 308 | 286 | $48K | |
| 99442 | 166 | 159 | $26K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 177 | 155 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 56 | 52 | $7K |
| 0012A | 28 | 28 | $5K | |
| 0011A | 26 | 25 | $5K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 46 | 36 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 21 | 17 | $3K |
| Q3014 | Telehealth originating site facility fee | 19 | 18 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $2K |
| 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 | 20 | 15 | $790.20 |
| 90686 | 46 | 45 | $7.36 | |
| 81002 | 12 | 12 | $0.00 | |
| 36416 | 18 | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15 | 15 | $0.00 |
| H0049 | Alcohol and/or drug screening | 15 | 15 | $0.00 |
| 82962 | 12 | 12 | $0.00 |