NPI: 1760599153 · CLOVIS, NM 88101 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,552 | $119K |
| 2019 | 60 | $3K |
| 2021 | 27 | $2K |
| 2022 | 24 | $435.28 |
| 2024 | 39 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 526 | 480 | $27K | |
| 99391 | 296 | 255 | $26K | |
| 90461 | 677 | 315 | $21K | |
| 90460 | 513 | 510 | $15K | |
| S9999 | Sales tax | 1,359 | 1,116 | $12K |
| 99214 | 94 | 91 | $8K | |
| 99392 | 72 | 72 | $6K | |
| 96110 | 331 | 331 | $4K | |
| 87502 | 25 | 25 | $3K | |
| 99080 | 428 | 426 | $2K | |
| 99393 | 13 | 13 | $1K | |
| 87804 | 16 | 16 | $239.25 | |
| 90647 | 42 | 42 | $0.42 | |
| 90657 | 27 | 27 | $0.27 | |
| 90656 | 13 | 13 | $0.13 | |
| 90744 | 12 | 12 | $0.00 | |
| 90680 | 83 | 83 | $0.00 | |
| 90698 | 15 | 15 | $0.00 | |
| 90670 | 148 | 148 | $0.00 | |
| 90633 | 12 | 12 | $0.00 |