NPI: 1720469679 · SANTA TERESA, NM 88008 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,744 | $156K |
| 2019 | 3,833 | $195K |
| 2020 | 2,733 | $132K |
| 2021 | 4,134 | $133K |
| 2022 | 4,964 | $175K |
| 2023 | 4,170 | $219K |
| 2024 | 2,934 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 6,740 | 5,488 | $475K | |
| 99214 | 1,354 | 1,206 | $148K | |
| 99254 | 883 | 854 | $128K | |
| 99233 | Prolong inpt eval add15 m | 1,361 | 821 | $115K |
| G0439 | Ppps, subseq visit | 401 | 398 | $57K |
| 90460 | 2,055 | 1,275 | $46K | |
| 99050 | 4,552 | 3,753 | $40K | |
| 99203 | 226 | 226 | $22K | |
| 99173 | 456 | 454 | $15K | |
| 92552 | 529 | 526 | $14K | |
| 90461 | 298 | 283 | $14K | |
| 99393 | 120 | 120 | $13K | |
| 87633 | 27 | 26 | $12K | |
| 99215 | Prolong outpt/office vis | 95 | 84 | $12K |
| 99394 | 103 | 100 | $10K | |
| 0011A | 255 | 254 | $8K | |
| 0012A | 216 | 213 | $7K | |
| 96160 | 1,235 | 1,225 | $6K | |
| 99202 | 92 | 92 | $5K | |
| 87804 | 216 | 124 | $4K | |
| 0071A | 104 | 104 | $4K | |
| 96110 | 270 | 264 | $4K | |
| 87880 | 210 | 205 | $3K | |
| 87426 | 73 | 72 | $3K | |
| 0001A | 81 | 80 | $3K | |
| 0013A | 73 | 72 | $3K | |
| 99392 | 25 | 25 | $2K | |
| 97802 | 101 | 101 | $2K | |
| 0072A | 55 | 52 | $2K | |
| 92551 | 173 | 173 | $2K | |
| 96127 | 314 | 309 | $2K | |
| 36415 | 301 | 290 | $2K | |
| 0003A | 37 | 37 | $1K | |
| 0002A | 35 | 35 | $1K | |
| 99212 | 22 | 22 | $909.64 | |
| 90480 | 16 | 16 | $569.60 | |
| 90630 | 27 | 27 | $557.73 | |
| 0124A | 12 | 12 | $502.40 | |
| 90686 | 118 | 116 | $311.11 | |
| 90473 | 13 | 13 | $270.12 | |
| 93010 | 29 | 28 | $233.23 | |
| 90688 | 124 | 123 | $221.73 | |
| S8301 | Infect control supplies nos | 70 | 70 | $200.90 |
| 90734 | 27 | 27 | $136.21 | |
| 96161 | 29 | 29 | $123.10 | |
| 99000 | 252 | 237 | $116.94 | |
| 90658 | 15 | 15 | $70.68 | |
| 90672 | 26 | 26 | $54.00 | |
| 81002 | 16 | 14 | $48.72 | |
| 91301 | 537 | 517 | $2.90 | |
| 91300 | 182 | 178 | $0.90 | |
| 91307 | 176 | 167 | $0.85 | |
| 90649 | 57 | 57 | $0.42 | |
| 90620 | 26 | 26 | $0.17 | |
| 91322 | 14 | 14 | $0.14 | |
| 91312 | 12 | 12 | $0.08 | |
| 91308 | 15 | 15 | $0.03 | |
| 91305 | 12 | 12 | $0.02 | |
| S0302 | Completed epsdt | 407 | 405 | $0.00 |
| S9451 | Exercise class | 30 | 30 | $0.00 |
| 94760 | 75 | 65 | $0.00 | |
| S9449 | Weight mgmt class | 93 | 93 | $0.00 |
| 97803 | 14 | 14 | $0.00 |