NPI: 1679649842 · TUCUMCARI, NM 88401 · Non-Pharmacy Dispensing Site · NPI assigned 11/28/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/28/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| 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 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,004 | 4,186 | $668K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,283 | 3,623 | $521K |
| 99441 | 386 | 370 | $66K | |
| 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 | 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 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 35 | 28 | $5K |
| 0071A | 30 | 30 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 88 | 63 | $4K |
| 91307 | 18 | 18 | $3K | |
| 0144A | 16 | 16 | $3K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $2K |
| 0072A | 28 | 28 | $2K | |
| Q3014 | Telehealth originating site facility fee | 19 | 15 | $733.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 164 | 159 | $403.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 406 | 324 | $243.31 |
| 87428 | 250 | 243 | $239.62 | |
| 36415 | Collection of venous blood by venipuncture | 814 | 789 | $53.74 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 32 | 27 | $9.23 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 15 | 15 | $0.71 |
| 82570 | 13 | 13 | $0.00 | |
| 80061 | Lipid panel | 81 | 81 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16 | 16 | $0.00 |
| 80053 | Comprehensive metabolic panel | 156 | 156 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 100 | 100 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 50 | 50 | $0.00 |
| 90688 | 13 | 13 | $0.00 | |
| 85027 | 70 | 70 | $0.00 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 15 | 13 | $0.00 |
| 82043 | 13 | 13 | $0.00 |