NPI: 1952770984 · CLOVIS, NM 88101 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 412 | $740.14 |
| 2022 | 4,250 | $47K |
| 2023 | 1,300 | $8K |
| 2024 | 1,408 | $213.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 1,189 | 104 | $49K | |
| J1756 | Iron sucrose injection | 66 | 13 | $2K |
| 80051 | 318 | 273 | $1K | |
| 84520 | 880 | 313 | $558.37 | |
| 84466 | 399 | 330 | $522.66 | |
| 85025 | 385 | 326 | $384.07 | |
| 87340 | 372 | 319 | $367.75 | |
| 83970 | 120 | 97 | $264.15 | |
| 83540 | 399 | 330 | $256.62 | |
| 84100 | 384 | 326 | $212.74 | |
| 82310 | 371 | 312 | $190.46 | |
| 84075 | 381 | 326 | $188.08 | |
| 82565 | 387 | 326 | $185.90 | |
| 82040 | 373 | 313 | $162.65 | |
| 84155 | 363 | 313 | $118.23 | |
| 82306 | 33 | 28 | $112.92 | |
| 82728 | 119 | 98 | $87.04 | |
| 85018 | 68 | 55 | $56.14 | |
| 85014 | 67 | 54 | $21.29 | |
| 82607 | 33 | 28 | $15.21 | |
| 86706 | 33 | 28 | $13.96 | |
| A4657 | Syringe w/wo needle | 570 | 105 | $10.25 |
| 84132 | 15 | 13 | $7.81 | |
| 84295 | 15 | 13 | $6.56 | |
| 82435 | 15 | 13 | $0.00 | |
| 82374 | 15 | 13 | $0.00 |