THOREAU CLINIC
NPI: 1679516702
· THOREAU, NM 87323
· Clinic/Center
· NPI assigned 06/14/2006
$827K
Total Medicaid Paid
Provider Details
| Authorized Official | ROANHORSE, ANSLEM (CEO) |
| Parent Organization | DHHS PHS NAIHS CROWNPOINT HOSPITAL |
| NPI Enumeration Date | 06/14/2006 |
Related Entities
Other providers sharing the same authorized official: ROANHORSE, ANSLEM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
893 |
$59K |
| 2019 |
923 |
$80K |
| 2020 |
691 |
$97K |
| 2021 |
1,121 |
$262K |
| 2022 |
922 |
$256K |
| 2023 |
278 |
$39K |
| 2024 |
211 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,801 |
3,130 |
$339K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
363 |
343 |
$198K |
| 0002A |
|
170 |
169 |
$86K |
| 0001A |
|
148 |
148 |
$72K |
| Q3014 |
Telehealth originating site facility fee |
118 |
107 |
$50K |
| 0004A |
|
66 |
66 |
$35K |
| 0064A |
|
32 |
31 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$13K |
| 0003A |
|
12 |
12 |
$6K |
| 0054A |
|
15 |
15 |
$4K |
| 0124A |
|
12 |
12 |
$3K |
| 99442 |
|
102 |
97 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
102 |
102 |
$370.81 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
76 |
76 |
$221.12 |