NPI: 1912016734 · ESTANCIA, NM 87016 · 332900000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,482 | $345K |
| 2019 | 2,139 | $301K |
| 2020 | 2,123 | $326K |
| 2021 | 3,010 | $414K |
| 2022 | 2,515 | $343K |
| 2023 | 2,147 | $307K |
| 2024 | 1,826 | $275K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 4,104 | 3,659 | $660K | |
| D0999 | 2,948 | 2,713 | $567K | |
| 99214 | 3,465 | 3,098 | $529K | |
| 90834 | 1,197 | 836 | $199K | |
| 90837 | 788 | 475 | $139K | |
| 99441 | 329 | 312 | $54K | |
| 99442 | 272 | 252 | $43K | |
| Q3014 | Telehealth facility fee | 275 | 148 | $25K |
| 99394 | 127 | 125 | $19K | |
| 0011A | 95 | 95 | $16K | |
| H2015 | Comp comm supp svc, 15 min | 91 | 51 | $15K |
| 0012A | 78 | 77 | $13K | |
| 90832 | 57 | 42 | $10K | |
| 99212 | 43 | 42 | $7K | |
| 91301 | 55 | 55 | $4K | |
| 99215 | Prolong outpt/office vis | 24 | 24 | $4K |
| G0467 | Fqhc visit, estab pt | 96 | 69 | $3K |
| 99392 | 12 | 12 | $2K | |
| 0013A | 14 | 12 | $1K | |
| 90460 | 67 | 63 | $807.12 | |
| 85025 | 202 | 201 | $718.48 | |
| 90471 | 166 | 164 | $568.56 | |
| 36415 | 808 | 787 | $530.17 | |
| 80053 | 435 | 430 | $346.26 | |
| 90686 | 88 | 88 | $2.44 | |
| 99173 | 15 | 15 | $0.00 | |
| 80061 | 80 | 80 | $0.00 | |
| D1120 | 13 | 13 | $0.00 | |
| 90472 | 13 | 13 | $0.00 | |
| 83036 | 111 | 111 | $0.00 | |
| 90688 | 93 | 93 | $0.00 | |
| 84443 | 40 | 40 | $0.00 | |
| D0120 | 41 | 41 | $0.00 |