Clinic
Las Clinicas Del Norte, Incorporated
Las Clinicas Del Norte, Incorporated was paid $7.38M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoLAS CLINICAS DEL NORTE, INCORPORATED
EL RITO, NM 87530
EL RITO, NM 87530
33aNPI1053314831assigned 05/24/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.38M
24GClaims80,832
24DCodes billed62
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#16 of 80
Median peer was paid$1.11M
This provider vs. median6.6×
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 | 9,616 | $947K | |
| 2019 | 15,595 | $1.32M | |
| 2020 | 12,817 | $1.01M | |
| 2021 | 14,741 | $1.26M | |
| 2022 | 12,457 | $1.18M | |
| 2023 | 9,803 | $981K | |
| 2024incomplete | 5,803 | $679K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 61% | 23,336 | 18,663 | $4.52M |
| D0999 | Unspecified diagnostic procedure, by report | 24% | 8,861 | 8,011 | $1.74M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 1,698 | 1,157 | $309K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.7% | 1,643 | 993 | $273K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 1,549 | 1,209 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 14,575 | 12,402 | $101K |
| 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 | 1.1% | 2,904 | 2,440 | $82K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 862 | 590 | $32K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 223 | 128 | $29K |
| Q3014 | Telehealth originating site facility fee | <1% | 3,775 | 2,503 | $28K |
| 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% | 2,049 | 1,935 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,314 | 1,227 | $12K |
50 more codes
| 99442 | <1% | 1,748 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $3K |
| 0012A | <1% | 303 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 452 | $1K |
| 0001A | <1% | 269 | $1K | |
| 99443 | <1% | 159 | $991.10 | |
| D0274 | Bitewings - four radiographic images | <1% | 49 | $927.40 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $862.42 |
| D1120 | Dental cleaning, child | <1% | 142 | $831.11 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 81 | $785.65 |
| 0031A | <1% | 127 | $774.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,965 | $723.10 |
| D0120 | Dental checkup, returning patient | <1% | 49 | $632.97 |
| 99441 | <1% | 504 | $614.69 | |
| 0002A | <1% | 242 | $580.62 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 107 | $409.13 |
| 0011A | <1% | 270 | $387.08 | |
| 80305 | <1% | 3,542 | $288.60 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 96 | $238.68 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 687 | $236.76 |
| 0064A | <1% | 185 | $196.25 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 109 | $185.48 |
| 86403 | <1% | 988 | $130.26 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 62 | $113.62 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 133 | $47.52 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 373 | $42.37 |
| G0008 | Administration of influenza virus vaccine | <1% | 52 | $32.09 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 19 | $25.89 |
| 81002 | <1% | 1,085 | $25.36 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 29 | $24.76 |
| 99080 | <1% | 581 | $20.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 440 | $11.01 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 91 | $6.92 |
| 36416 | <1% | 528 | $3.97 | |
| 90632 | 0% | 16 | $0.00 | |
| 85018 | 0% | 483 | $0.00 | |
| 90686 | 0% | 492 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 19 | $0.00 |
| 99383 | 0% | 12 | $0.00 | |
| 0072A | 0% | 32 | $0.00 | |
| 0134A | 0% | 21 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 216 | $0.00 |
| 0071A | 0% | 46 | $0.00 | |
| 0004A | 0% | 39 | $0.00 | |
| 82948 | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | $0.00 |
| 99201 | 0% | 28 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 14 | $0.00 |
| 90461 | 0% | 13 | $0.00 | |
| 80306 | 0% | 50 | $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 officialLOPEZ, ANDY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Las Clinicas Del Norte Incorporated | Abiquiu, NM | $511K |
| Las Clinicas Del Norte, Incorporated | Ojo Caliente, NM | $253K |
| Las Clinicas Del Norte Incorporated | Santa Fe, NM | $106K |
| Las Clinicas Del Norte Incorporated | Ojo Caliente, NM | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.