NPI: 1851741359 · SANTA FE, NM 87507 · Federally Qualified Health Center (FQHC) · NPI assigned 06/15/2016
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 06/15/2016 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17,038 | $2.65M |
| 2019 | 13,516 | $1.92M |
| 2020 | 12,892 | $2.01M |
| 2021 | 12,211 | $2.02M |
| 2022 | 13,867 | $2.33M |
| 2023 | 15,257 | $2.56M |
| 2024 | 18,858 | $2.96M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient | 20,562 | 10,821 | $3.60M |
| 90834 | Psychotherapy, 45 minutes with patient | 17,295 | 9,535 | $3.07M |
| H2015 | Comprehensive community support services, per 15 minutes | 12,581 | 3,666 | $2.21M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14,327 | 12,218 | $2.18M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,297 | 8,091 | $1.40M |
| 90837 | Psychotherapy, 53 minutes with patient | 5,203 | 3,338 | $929K |
| 90791 | Psychiatric diagnostic evaluation | 4,379 | 4,340 | $768K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 3,758 | 2,087 | $676K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1,482 | 172 | $297K |
| Q3014 | Telehealth originating site facility fee | 3,422 | 2,070 | $241K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1,152 | 688 | $201K |
| T1005 | Respite care services, up to 15 minutes | 1,093 | 223 | $161K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 922 | 427 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 864 | 804 | $137K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 554 | 543 | $100K |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 352 | 50 | $56K |
| 99441 | 285 | 266 | $48K | |
| 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 | 2,205 | 1,645 | $43K |
| 99442 | 210 | 203 | $35K | |
| 0071A | 109 | 108 | $19K | |
| 0011A | 113 | 111 | $18K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 98 | 97 | $18K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 610 | 357 | $17K |
| 0072A | 77 | 76 | $13K | |
| 0012A | 56 | 56 | $10K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 772 | 656 | $9K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 43 | 43 | $8K |
| D0999 | Unspecified diagnostic procedure, by report | 30 | 27 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 30 | 29 | $5K |
| 0001A | 38 | 38 | $5K | |
| 0013A | 17 | 17 | $3K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 185 | 134 | $3K |
| 91300 | 15 | 15 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14 | 14 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 130 | 115 | $2K |
| 99173 | 31 | 31 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 114 | 109 | $925.08 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 132 | 129 | $845.30 |
| 36415 | Collection of venous blood by venipuncture | 12 | 12 | $718.48 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 125 | 123 | $354.28 |
| 80061 | Lipid panel | 12 | 12 | $177.14 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 24 | 12 | $136.39 |
| 80053 | Comprehensive metabolic panel | 160 | 158 | $0.00 |
| 90686 | 86 | 86 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 54 | 54 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 517 | 389 | $0.00 |
| 90688 | 92 | 92 | $0.00 |