NPI: 1447339361 · RESERVE, NM 87830 · 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 (CFO) |
| NPI Enumeration Date | 11/02/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,537 | $146K |
| 2019 | 1,533 | $170K |
| 2020 | 843 | $93K |
| 2021 | 760 | $94K |
| 2022 | 1,023 | $140K |
| 2023 | 914 | $123K |
| 2024 | 515 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,481 | 2,103 | $318K |
| D0999 | Unspecified diagnostic procedure, by report | 1,296 | 1,165 | $247K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,935 | 1,626 | $232K |
| 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 | 995 | 620 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 62 | 62 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 47 | 35 | $5K |
| 0011A | 28 | 28 | $5K | |
| 0012A | 18 | 18 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 13 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | 66 | 64 | $0.00 |
| 80053 | Comprehensive metabolic panel | 12 | 12 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 50 | 50 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 15 | 15 | $0.00 |
| 99173 | 39 | 39 | $0.00 | |
| 81002 | 41 | 41 | $0.00 | |
| D1120 | Prophylaxis - child | 27 | 27 | $0.00 |