NPI: 1669485975 · CUBA, NM 87013 · Non-Pharmacy Dispensing Site · NPI assigned 08/15/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 08/15/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,353 | $523K |
| 2019 | 5,126 | $470K |
| 2020 | 4,189 | $437K |
| 2021 | 8,080 | $850K |
| 2022 | 5,229 | $573K |
| 2023 | 6,538 | $687K |
| 2024 | 4,169 | $484K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,621 | 8,362 | $1.48M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,721 | 6,682 | $1.12M |
| D0999 | Unspecified diagnostic procedure, by report | 2,591 | 2,307 | $498K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,473 | 1,369 | $242K |
| 99441 | 437 | 404 | $71K | |
| 0012A | 418 | 399 | $60K | |
| 0011A | 385 | 370 | $59K | |
| 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 | 1,964 | 1,431 | $58K |
| 91300 | 501 | 477 | $50K | |
| 0001A | 428 | 392 | $42K | |
| 99442 | 235 | 213 | $37K | |
| 0013A | 220 | 213 | $36K | |
| D1206 | Topical application of fluoride varnish | 187 | 187 | $31K |
| 0072A | 146 | 137 | $25K | |
| 91301 | 429 | 425 | $24K | |
| 0002A | 259 | 249 | $21K | |
| 0071A | 116 | 110 | $20K | |
| D0120 | Periodic oral evaluation - established patient | 122 | 122 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 109 | 108 | $19K |
| D1120 | Prophylaxis - child | 108 | 106 | $17K |
| H0049 | Alcohol and/or drug screening | 1,851 | 1,689 | $13K |
| Q3014 | Telehealth originating site facility fee | 62 | 46 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 53 | 51 | $9K |
| 0003A | 58 | 58 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 37 | 37 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 55 | 55 | $6K |
| 36415 | Collection of venous blood by venipuncture | 1,837 | 1,763 | $6K |
| 99215 | Prolong outpt/office vis | 29 | 27 | $5K |
| D0274 | Bitewings - four radiographic images | 39 | 39 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26 | 26 | $4K |
| 0064A | 53 | 53 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,171 | 1,163 | $3K |
| D0272 | Bitewings - two radiographic images | 14 | 14 | $2K |
| 90834 | Psychotherapy, 45 minutes with patient | 13 | 13 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13 | 13 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 163 | 157 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 845 | 800 | $2K |
| 87428 | 314 | 307 | $2K | |
| 81002 | 660 | 630 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | 22 | 15 | $885.70 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 15 | 15 | $840.64 |
| 90686 | 512 | 510 | $801.32 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 173 | 171 | $387.58 |
| 91307 | 149 | 149 | $359.24 | |
| 84443 | Thyroid stimulating hormone (TSH) | 81 | 78 | $356.76 |
| 36416 | 313 | 290 | $193.69 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1,057 | 913 | $173.84 |
| 90656 | 12 | 12 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 348 | 345 | $0.00 |
| 96373 | 14 | 14 | $0.00 | |
| 82043 | 12 | 12 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 33 | 33 | $0.00 |
| 82607 | 22 | 22 | $0.00 | |
| 90688 | 102 | 102 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 130 | 129 | $0.00 |
| 86803 | 12 | 12 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 30 | 28 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 27 | 27 | $0.00 |
| 92551 | 20 | 20 | $0.00 | |
| 85018 | 12 | 12 | $0.00 | |
| 86703 | 13 | 13 | $0.00 | |
| 82570 | 12 | 12 | $0.00 | |
| 80061 | Lipid panel | 243 | 241 | $0.00 |
| 99173 | 42 | 42 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 372 | 367 | $0.00 |
| 81025 | 59 | 55 | $0.00 | |
| 82274 | 15 | 15 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 30 | 28 | $0.00 |
| 91320 | 12 | 12 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 15 | 15 | $0.00 |
| 90734 | 12 | 12 | $0.00 |