NPI: 1740717743 · SANTA FE, NM 87505 · 261QF0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,502 | $180K |
| 2019 | 1,834 | $152K |
| 2020 | 1,815 | $162K |
| 2021 | 1,774 | $169K |
| 2022 | 1,651 | $164K |
| 2023 | 2,061 | $171K |
| 2024 | 1,451 | $134K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,544 | 3,569 | $639K | |
| 99214 | 2,516 | 2,262 | $371K | |
| 98967 | 288 | 261 | $49K | |
| 99212 | 274 | 241 | $45K | |
| 0031A | 64 | 60 | $10K | |
| G0467 | Fqhc visit, estab pt | 319 | 226 | $4K |
| 0134A | 45 | 44 | $3K | |
| Q3014 | Telehealth facility fee | 473 | 332 | $3K |
| 98966 | 15 | 15 | $3K | |
| 99203 | 13 | 13 | $2K | |
| 98968 | 12 | 12 | $2K | |
| 99000 | 684 | 637 | $315.06 | |
| 80305 | 2,541 | 2,025 | $46.40 | |
| 90686 | 173 | 168 | $24.06 | |
| 36415 | 484 | 455 | $17.46 | |
| 90471 | 352 | 332 | $1.12 | |
| 91313 | 44 | 44 | $0.00 | |
| 91322 | 17 | 13 | $0.00 | |
| 91300 | 42 | 21 | $0.00 | |
| 81003 | 12 | 12 | $0.00 | |
| 90658 | 18 | 14 | $0.00 | |
| 82962 | 36 | 26 | $0.00 | |
| 99406 | 39 | 38 | $0.00 | |
| 83036 | 25 | 24 | $0.00 | |
| 91303 | 19 | 19 | $0.00 | |
| H0049 | Alcohol/drug screening | 39 | 26 | $0.00 |