NPI: 1891886065 · MESCALERO, NM 88340 · 282NR1301X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 86 | $3K |
| 2020 | 1,252 | $518K |
| 2021 | 2,414 | $1.09M |
| 2022 | 463 | $266K |
| 2023 | 108 | $69K |
| 2024 | 27 | $868.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth facility fee | 1,982 | 1,673 | $970K |
| 0001A | 426 | 425 | $218K | |
| 0011A | 412 | 412 | $211K | |
| 0064A | 273 | 270 | $145K | |
| 0071A | 189 | 189 | $100K | |
| 0072A | 176 | 175 | $95K | |
| 0004A | 82 | 82 | $42K | |
| 0002A | 63 | 63 | $33K | |
| G0463 | Hospital outpt clinic visit | 411 | 286 | $29K |
| 0054A | 39 | 38 | $24K | |
| 0134A | 31 | 31 | $20K | |
| 99441 | 106 | 86 | $20K | |
| 0012A | 32 | 32 | $17K | |
| 0031A | 19 | 19 | $10K | |
| 0124A | 14 | 14 | $9K | |
| 99213 | 82 | 78 | $808.55 | |
| 99214 | 13 | 12 | $592.47 |