NPI: 1831266311 · THOREAU, NM 87323 · Non-Pharmacy Dispensing Site · NPI assigned 11/29/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VP) |
| NPI Enumeration Date | 11/29/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,184 | $121K |
| 2019 | 1,375 | $131K |
| 2020 | 701 | $80K |
| 2021 | 662 | $89K |
| 2022 | 691 | $82K |
| 2023 | 736 | $101K |
| 2024 | 428 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,472 | 2,209 | $306K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,917 | 1,709 | $274K |
| 90834 | Psychotherapy, 45 minutes with patient | 144 | 113 | $24K |
| 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 | 537 | 389 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 91 | 85 | $13K |
| 0011A | 81 | 79 | $11K | |
| 99441 | 57 | 51 | $9K | |
| 0012A | 59 | 54 | $8K | |
| 99442 | 20 | 19 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14 | 14 | $2K |
| 0013A | 12 | 12 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 124 | 122 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 81 | 81 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 61 | 61 | $533.08 |
| 80053 | Comprehensive metabolic panel | 13 | 13 | $201.78 |
| 90686 | 46 | 46 | $182.96 | |
| 90688 | 36 | 36 | $0.00 | |
| 80061 | Lipid panel | 12 | 12 | $0.00 |