NPI: 1417082215 · JEMEZ PUEBLO, NM 87024 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 850 | $40K |
| 2019 | 631 | $36K |
| 2020 | 967 | $342K |
| 2021 | 1,139 | $552K |
| 2022 | 955 | $528K |
| 2023 | 353 | $201K |
| 2024 | 348 | $247K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth facility fee | 2,307 | 1,549 | $1.31M |
| 0054A | 148 | 148 | $93K | |
| 99212 | 198 | 146 | $91K | |
| A0130 | Noner transport wheelch van | 1,926 | 485 | $87K |
| 0072A | 144 | 143 | $80K | |
| 0064A | 141 | 141 | $75K | |
| 0071A | 117 | 116 | $61K | |
| 0124A | 96 | 95 | $60K | |
| 0004A | 64 | 63 | $32K | |
| 0082A | 32 | 32 | $20K | |
| 0154A | 29 | 29 | $19K | |
| 0081A | 14 | 14 | $9K | |
| 0134A | 13 | 13 | $8K | |
| 0013A | 14 | 14 | $7K |