NPI: 1679649842 · TUCUMCARI, NM 88401 · 332900000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,212 | $265K |
| 2019 | 2,772 | $214K |
| 2020 | 2,014 | $179K |
| 2021 | 1,841 | $189K |
| 2022 | 1,866 | $195K |
| 2023 | 1,899 | $219K |
| 2024 | 1,433 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 5,004 | 4,186 | $668K | |
| 99214 | 4,283 | 3,623 | $521K | |
| 99441 | 386 | 370 | $66K | |
| G0467 | Fqhc visit, estab pt | 2,384 | 1,582 | $63K |
| 99443 | 145 | 127 | $25K | |
| 0011A | 108 | 108 | $18K | |
| 0012A | 99 | 99 | $15K | |
| 0064A | 71 | 69 | $10K | |
| 91301 | 55 | 54 | $9K | |
| 99442 | 48 | 44 | $8K | |
| 99212 | 35 | 28 | $5K | |
| 0071A | 30 | 30 | $4K | |
| G2025 | Dis site tele svcs rhc/fqhc | 88 | 63 | $4K |
| 91307 | 18 | 18 | $3K | |
| 0144A | 16 | 16 | $3K | |
| 99203 | 12 | 12 | $2K | |
| 0072A | 28 | 28 | $2K | |
| Q3014 | Telehealth facility fee | 19 | 15 | $733.56 |
| 87880 | 164 | 159 | $403.56 | |
| 96372 | 406 | 324 | $243.31 | |
| 87428 | 250 | 243 | $239.62 | |
| 36415 | 814 | 789 | $53.74 | |
| J1885 | Ketorolac tromethamine inj | 32 | 27 | $9.23 |
| J3301 | Triamcinolone acet inj nos | 15 | 15 | $0.71 |
| 82570 | 13 | 13 | $0.00 | |
| 80061 | 81 | 81 | $0.00 | |
| 90460 | 16 | 16 | $0.00 | |
| 80053 | 156 | 156 | $0.00 | |
| 90471 | 100 | 100 | $0.00 | |
| 83036 | 50 | 50 | $0.00 | |
| 90688 | 13 | 13 | $0.00 | |
| 85027 | 70 | 70 | $0.00 | |
| H0048 | Spec coll non-blood:a/d test | 15 | 13 | $0.00 |
| 82043 | 13 | 13 | $0.00 |