Physician
El Pueblo Health Services, INC
El Pueblo Health Services, INC was paid $4.30M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoEL PUEBLO HEALTH SERVICES, INC
BERNALILLO, NM 87004
BERNALILLO, NM 87004
33aNPI1144302415assigned 10/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.30M
24GClaims36,581
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#15 of 148
Median peer was paid$167K
This provider vs. median26×
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 | 4,832 | $385K | |
| 2019 | 4,430 | $412K | |
| 2020 | 5,122 | $592K | |
| 2021 | 5,890 | $723K | |
| 2022 | 5,859 | $756K | |
| 2023 | 6,010 | $801K | |
| 2024incomplete | 4,438 | $630K |
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 | 36% | 13,177 | 11,358 | $1.56M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 5,181 | 3,186 | $758K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 3,899 | 2,491 | $633K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.9% | 2,472 | 2,181 | $296K |
| 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 | 6.0% | 2,235 | 1,985 | $256K |
| 99441 | 3.3% | 880 | 849 | $141K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 772 | 629 | $136K |
| 99442 | 2.5% | 681 | 655 | $109K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 421 | 408 | $70K |
| 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 | 1.4% | 3,112 | 2,156 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 401 | 390 | $58K |
| 99443 | <1% | 218 | 204 | $36K |
32 more codes
| 91300 | <1% | 273 | $20K | |
| 0064A | <1% | 95 | $17K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 88 | $16K |
| 0012A | <1% | 79 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 73 | $14K |
| 0011A | <1% | 69 | $12K | |
| 0072A | <1% | 65 | $11K | |
| 0071A | <1% | 63 | $11K | |
| 99384 | <1% | 59 | $10K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 209 | $9K |
| 0001A | <1% | 74 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 499 | $7K |
| 0124A | <1% | 102 | $6K | |
| 0004A | <1% | 45 | $6K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 139 | $6K |
| 0002A | <1% | 60 | $5K | |
| 91312 | <1% | 101 | $4K | |
| 90653 | <1% | 118 | $3K | |
| 91307 | <1% | 135 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $2K |
| 91320 | <1% | 30 | $1K | |
| 90480 | <1% | 70 | $1K | |
| 90734 | <1% | 30 | $994.17 | |
| 80305 | <1% | 154 | $798.34 | |
| 91306 | <1% | 95 | $538.86 | |
| 90461 | <1% | 27 | $468.70 | |
| 90658 | <1% | 80 | $334.43 | |
| 91301 | <1% | 158 | $265.00 | |
| 81025 | <1% | 52 | $236.49 | |
| 90662 | <1% | 19 | $62.40 | |
| 81003 | <1% | 20 | $47.22 | |
| G0008 | Administration of influenza virus vaccine | <1% | 39 | $20.78 |
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 officialSTEFFENS, GEOFFREY (CEO/CNP)