NPI: 1912337353 · LAS VEGAS, NM 87701 · 363L00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,305 | $55K |
| 2019 | 1,472 | $54K |
| 2020 | 1,001 | $55K |
| 2021 | 1,167 | $48K |
| 2022 | 717 | $35K |
| 2023 | 373 | $27K |
| 2024 | 470 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 3,978 | 3,534 | $223K | |
| 99215 | Prolong outpt/office vis | 866 | 700 | $49K |
| 99213 | 290 | 280 | $16K | |
| 99309 | 385 | 351 | $11K | |
| 99442 | 53 | 51 | $5K | |
| 96372 | 210 | 178 | $2K | |
| 90686 | 127 | 126 | $2K | |
| 90732 | 20 | 20 | $536.55 | |
| G0008 | Admin influenza virus vac | 313 | 305 | $515.85 |
| 99212 | 20 | 19 | $464.08 | |
| 82962 | 155 | 148 | $246.96 | |
| 90662 | 68 | 68 | $147.09 | |
| G0009 | Admin pneumococcal vaccine | 20 | 20 | $0.00 |