NPI: 1407898034 · SOCORRO, NM 87801 · Non-Pharmacy Dispensing Site · NPI assigned 06/11/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 06/11/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,578 | $1.49M |
| 2019 | 12,411 | $1.55M |
| 2020 | 9,664 | $1.38M |
| 2021 | 7,636 | $1.07M |
| 2022 | 6,441 | $962K |
| 2023 | 7,385 | $953K |
| 2024 | 5,765 | $830K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 9,019 | 3,765 | $1.58M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10,525 | 8,739 | $1.56M |
| 90834 | Psychotherapy, 45 minutes with patient | 7,373 | 5,129 | $1.30M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,384 | 7,296 | $1.22M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 3,762 | 1,179 | $633K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,372 | 2,248 | $372K |
| 90837 | Psychotherapy, 53 minutes with patient | 2,011 | 1,461 | $347K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,316 | 1,106 | $233K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1,285 | 553 | $226K |
| 90791 | Psychiatric diagnostic evaluation | 947 | 939 | $165K |
| Q3014 | Telehealth originating site facility fee | 1,973 | 1,318 | $120K |
| 99441 | 706 | 636 | $119K | |
| 99442 | 447 | 400 | $75K | |
| 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 | 2,643 | 1,850 | $69K |
| 99215 | Prolong outpt/office vis | 334 | 301 | $40K |
| 0011A | 180 | 171 | $28K | |
| 0012A | 173 | 168 | $26K | |
| H2011 | Crisis intervention service, per 15 minutes | 138 | 117 | $23K |
| 99443 | 130 | 112 | $22K | |
| 91300 | 101 | 95 | $16K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 61 | 37 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 263 | 196 | $10K |
| 0001A | 72 | 69 | $5K | |
| H0049 | Alcohol and/or drug screening | 127 | 118 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16 | 16 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 | $3K |
| 0002A | 66 | 65 | $2K | |
| 0031A | 19 | 17 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12 | 12 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $2K |
| 0072A | 13 | 13 | $2K | |
| 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 | 1,301 | 922 | $941.99 |
| 87428 | 167 | 164 | $933.75 | |
| 0013A | 15 | 14 | $898.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 630 | 620 | $442.70 |
| 80061 | Lipid panel | 205 | 204 | $366.78 |
| 36415 | Collection of venous blood by venipuncture | 1,196 | 1,168 | $336.92 |
| 90686 | 300 | 298 | $239.16 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 397 | 393 | $183.39 |
| 90715 | 29 | 29 | $4.94 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 13 | 13 | $4.37 |
| 83036 | Hemoglobin; glycosylated (A1C) | 440 | 437 | $0.00 |
| 80053 | Comprehensive metabolic panel | 583 | 574 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 409 | 322 | $0.00 |
| 81001 | 28 | 28 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 93 | 90 | $0.00 |
| 86803 | 36 | 36 | $0.00 | |
| 91301 | 16 | 16 | $0.00 | |
| 90688 | 168 | 168 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 24 | 24 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 113 | 111 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 20 | 19 | $0.00 |
| 86703 | 61 | 60 | $0.00 | |
| 99173 | 13 | 13 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 72 | 58 | $0.00 |
| 80306 | 19 | 16 | $0.00 | |
| 84439 | 18 | 17 | $0.00 | |
| 80305 | 19 | 16 | $0.00 |