Clinic
De Baca Family Practice Clinic
De Baca Family Practice Clinic was paid $2.28M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoDE BACA FAMILY PRACTICE CLINIC
FORT SUMNER, NM 88119
FORT SUMNER, NM 88119
33aNPI1003855032assigned 06/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.28M
24GClaims23,737
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#31 of 80
Median peer was paid$1.11M
This provider vs. median2.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,563 | $486K | |
| 2019 | 3,855 | $353K | |
| 2020 | 3,031 | $240K | |
| 2021 | 3,646 | $360K | |
| 2022 | 2,375 | $352K | |
| 2023 | 2,805 | $242K | |
| 2024incomplete | 2,462 | $251K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 9,184 | 7,423 | $978K |
| D0999 | Unspecified diagnostic procedure, by report | 33% | 4,025 | 3,578 | $753K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 1,462 | 1,288 | $213K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 2,095 | 1,958 | $67K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.4% | 2,347 | 1,390 | $54K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 1,291 | 1,219 | $49K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 275 | 166 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 414 | 391 | $34K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.0% | 340 | 283 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 621 | 593 | $14K |
| 0011A | <1% | 67 | 67 | $12K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 722 | 680 | $11K |
17 more codes
| 0012A | <1% | 55 | $10K | |
| 90837 | Psychotherapy session, about an hour | <1% | 44 | $6K |
| 87428 | <1% | 121 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 167 | $2K |
| 0002A | <1% | 12 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $2K |
| 0013A | <1% | 12 | $2K | |
| 99406 | <1% | 26 | $1K | |
| D1120 | Dental cleaning, child | <1% | 152 | $987.80 |
| D0120 | Dental checkup, returning patient | <1% | 45 | $800.00 |
| D1206 | Topical application of fluoride varnish | 0% | 153 | $0.00 |
| 91301 | 0% | 31 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALRAVEN, LISA (CEO)
| Provider | Location | Paid |
|---|---|---|
| De Baca Family Practice Clinic | Fort Sumner, NM | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.