All Medicaid billing entities listing WALRAVEN, LISA (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Mexico | 2 | $2.46M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DE BACA FAMILY PRACTICE CLINIC | FORT SUMNER, NM | Federally Qualified Health Center (FQHC) | $2.28M |
| 2 | DE BACA FAMILY PRACTICE CLINIC | FORT SUMNER, NM | Federally Qualified Health Center (FQHC) | $181K |