NPI: 1972754356 · RIO RANCHO, NM 87124 · 208000000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,532 | $79K |
| 2019 | 1,432 | $64K |
| 2020 | 600 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,129 | 989 | $63K | |
| 99214 | 500 | 397 | $41K | |
| 99215 | Prolong outpt/office vis | 166 | 162 | $19K |
| 90460 | 446 | 435 | $10K | |
| 90461 | 205 | 203 | $8K | |
| 90471 | 352 | 339 | $7K | |
| 99393 | 50 | 49 | $5K | |
| 99058 | 360 | 338 | $5K | |
| 90472 | 185 | 118 | $4K | |
| S9999 | Sales tax | 442 | 384 | $3K |
| 99392 | 29 | 29 | $3K | |
| 99205 | Prolong outpt/office vis | 13 | 13 | $2K |
| 99394 | 14 | 14 | $1K | |
| 99080 | 260 | 251 | $1K | |
| 99211 | 84 | 84 | $1K | |
| 87804 | 32 | 32 | $859.58 | |
| 87880 | 29 | 28 | $451.92 | |
| 99070 | 50 | 49 | $447.20 | |
| 99442 | 12 | 12 | $234.60 | |
| A4206 | 1 cc sterile syringe&needle | 16 | 16 | $4.42 |
| 90658 | 94 | 94 | $0.00 | |
| 90670 | 39 | 39 | $0.00 | |
| A6413 | Adhesive bandage, first-aid | 30 | 30 | $0.00 |
| 90734 | 14 | 14 | $0.00 | |
| 90657 | 13 | 13 | $0.00 |