NPI: 1750388963 · DULCE, NM 87528 · 261QP0904X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,781 | $849K |
| 2021 | 3,903 | $1.99M |
| 2022 | 1,691 | $1.04M |
| 2023 | 986 | $626K |
| 2024 | 145 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth facility fee | 6,077 | 4,709 | $3.30M |
| 0012A | 405 | 405 | $209K | |
| 0011A | 366 | 365 | $188K | |
| 0001A | 354 | 354 | $184K | |
| 0002A | 351 | 351 | $182K | |
| 0124A | 169 | 167 | $109K | |
| 0064A | 148 | 148 | $82K | |
| 0071A | 152 | 140 | $75K | |
| 0134A | 115 | 115 | $74K | |
| 0003A | 113 | 113 | $65K | |
| 91322 | 91 | 90 | $58K | |
| 0072A | 96 | 96 | $55K | |
| 0154A | 29 | 29 | $19K | |
| 0031A | 25 | 25 | $13K | |
| 0004A | 15 | 15 | $10K |