NPI: 1518067669 · CLOVIS, NM 88101 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,116 | $95K |
| 2019 | 3,764 | $235K |
| 2020 | 2,081 | $154K |
| 2021 | 1,703 | $148K |
| 2022 | 3,058 | $308K |
| 2023 | 14,106 | $735K |
| 2024 | 24,284 | $856K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 7,002 | 6,000 | $1.37M | |
| 99213 | 4,045 | 3,742 | $602K | |
| 99214 | 1,459 | 1,315 | $163K | |
| D0120 | 1,305 | 1,297 | $53K | |
| 1000F | 2,106 | 1,903 | $44K | |
| 99203 | 204 | 202 | $37K | |
| 99394 | 158 | 158 | $30K | |
| 99392 | 154 | 154 | $30K | |
| 99393 | 150 | 150 | $28K | |
| D0150 | 811 | 806 | $26K | |
| D1120 | 1,179 | 1,176 | $26K | |
| G0467 | Fqhc visit, estab pt | 1,324 | 1,169 | $23K |
| 1126F | 2,008 | 1,875 | $15K | |
| 99383 | 63 | 61 | $12K | |
| 99384 | 56 | 56 | $11K | |
| 99391 | 56 | 49 | $11K | |
| D0140 | 246 | 241 | $11K | |
| 99396 | 51 | 51 | $9K | |
| D0220 | 1,698 | 1,675 | $4K | |
| 1125F | 756 | 719 | $4K | |
| 99382 | 16 | 16 | $3K | |
| 2000F | 3,054 | 2,779 | $2K | |
| D1110 | 128 | 128 | $2K | |
| 90471 | 574 | 564 | $2K | |
| D1208 | 522 | 522 | $2K | |
| 2001F | 3,409 | 3,087 | $2K | |
| 96372 | 56 | 45 | $1K | |
| D1206 | 400 | 397 | $865.12 | |
| D7140 | 40 | 24 | $807.60 | |
| D2392 | 18 | 12 | $600.00 | |
| 87426 | 102 | 102 | $558.75 | |
| 87880 | 453 | 444 | $529.02 | |
| 1159F | 897 | 872 | $510.50 | |
| 87804 | 260 | 255 | $313.82 | |
| D2391 | 16 | 13 | $300.20 | |
| 1220F | 1,083 | 1,024 | $260.73 | |
| D0274 | 509 | 507 | $200.00 | |
| 90472 | 65 | 65 | $183.39 | |
| 90686 | 173 | 169 | $81.08 | |
| 81002 | 50 | 47 | $66.00 | |
| 36415 | 32 | 32 | $29.56 | |
| 3044F | 371 | 335 | $7.39 | |
| 3210F | 483 | 439 | $7.39 | |
| 3008F | 3,139 | 2,856 | $0.08 | |
| 1160F | 896 | 871 | $0.04 | |
| 3074F | 2,498 | 2,299 | $0.03 | |
| 3078F | 1,916 | 1,787 | $0.02 | |
| D0230 | 1,150 | 1,055 | $0.00 | |
| 3075F | 235 | 230 | $0.00 | |
| 4000F | 863 | 827 | $0.00 | |
| 3079F | 968 | 907 | $0.00 | |
| 3080F | 59 | 58 | $0.00 | |
| D0272 | 101 | 98 | $0.00 | |
| 87635 | 29 | 29 | $0.00 | |
| 83036 | 31 | 31 | $0.00 | |
| G0008 | Admin influenza virus vac | 15 | 13 | $0.00 |
| 87807 | 12 | 12 | $0.00 | |
| D0601 | 16 | 16 | $0.00 | |
| 3046F | 14 | 13 | $0.00 | |
| 3077F | 157 | 147 | $0.00 | |
| 90461 | 152 | 152 | $0.00 | |
| 90460 | 216 | 216 | $0.00 | |
| 90715 | 64 | 63 | $0.00 | |
| D0330 | 26 | 26 | $0.00 | |
| 3051F | 13 | 12 | $0.00 |