NPI: 1427124601 · TULAROSA, NM 88352 · Non-Pharmacy Dispensing Site · NPI assigned 11/28/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/28/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,658 | $167K |
| 2019 | 1,337 | $160K |
| 2020 | 1,066 | $143K |
| 2021 | 917 | $120K |
| 2022 | 1,109 | $155K |
| 2023 | 995 | $141K |
| 2024 | 842 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,186 | 3,590 | $614K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,655 | 1,484 | $223K |
| 99441 | 528 | 503 | $89K | |
| 99442 | 154 | 146 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 171 | 162 | $24K |
| 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 | 611 | 444 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13 | 13 | $2K |
| 0011A | 12 | 12 | $2K | |
| 80053 | Comprehensive metabolic panel | 16 | 16 | $605.34 |
| 83036 | Hemoglobin; glycosylated (A1C) | 106 | 104 | $556.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 62 | 58 | $363.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 98 | 98 | $195.02 |
| 87428 | 62 | 59 | $183.39 | |
| 36415 | Collection of venous blood by venipuncture | 29 | 27 | $164.34 |
| 90715 | 12 | 12 | $9.28 | |
| 90688 | 48 | 48 | $8.94 | |
| 90686 | 24 | 23 | $0.00 | |
| 36416 | 49 | 49 | $0.00 | |
| 86803 | 12 | 12 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 24 | 24 | $0.00 |
| 80061 | Lipid panel | 15 | 15 | $0.00 |
| 84439 | 24 | 24 | $0.00 | |
| 99173 | 13 | 13 | $0.00 |