Phc-Las Cruces INC
Phc-Las Cruces INC was paid $2.66M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
LAS CRUCES, NM 88011
Next to other Certified Registered Nurse Anesthetist providers in New Mexico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,363 | $303K | |
| 2019 | 8,925 | $415K | |
| 2020 | 7,988 | $329K | |
| 2021 | 14,904 | $330K | |
| 2022 | 23,660 | $315K | |
| 2023 | 21,882 | $432K | |
| 2024incomplete | 17,818 | $537K |
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 | 55% | 24,497 | 22,441 | $1.46M |
| 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 | 9.2% | 2,466 | 2,279 | $244K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.4% | 2,057 | 1,992 | $145K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,040 | 849 | $95K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.5% | 1,366 | 1,010 | $94K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 1,582 | 806 | $88K |
| 99460 | 2.9% | 961 | 926 | $78K | |
| 99442 | 1.9% | 561 | 516 | $51K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.9% | 1,523 | 717 | $51K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 2,143 | 2,099 | $46K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 274 | 268 | $34K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.1% | 28 | 28 | $28K |
48 more codes
| 90863 | <1% | 703 | $25K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,512 | $23K |
| 99441 | <1% | 444 | $21K | |
| 97597 | <1% | 552 | $19K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 318 | $16K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 148 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 243 | $14K |
| 99223 | Prolong inpt eval add15 m | <1% | 79 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 116 | $13K |
| 90837 | Psychotherapy session, about an hour | <1% | 110 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 122 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 97 | $9K |
| 43775 | <1% | 31 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 95 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 352 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 305 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 240 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 40 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 172 | $3K |
| 90686 | <1% | 160 | $3K | |
| 0031A | <1% | 63 | $2K | |
| 99443 | <1% | 13 | $1K | |
| 99462 | <1% | 34 | $1K | |
| 90756 | <1% | 74 | $1K | |
| 99218 | <1% | 15 | $1K | |
| 99221 | <1% | 16 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | $350.54 |
| 96160 | <1% | 52 | $211.62 | |
| 81025 | <1% | 13 | $136.27 | |
| 81002 | <1% | 53 | $51.09 | |
| 99607 | <1% | 14 | $14.74 | |
| 81003 | <1% | 13 | $10.80 | |
| 3074F | 0% | 6,891 | $0.00 | |
| 1125F | 0% | 3,529 | $0.00 | |
| 3008F | 0% | 8,345 | $0.00 | |
| 1126F | 0% | 5,298 | $0.00 | |
| 1101F | 0% | 2,316 | $0.00 | |
| 3075F | 0% | 1,067 | $0.00 | |
| 3079F | 0% | 2,313 | $0.00 | |
| 1036F | 0% | 5,651 | $0.00 | |
| 3080F | 0% | 526 | $0.00 | |
| 1034F | 0% | 131 | $0.00 | |
| 3725F | 0% | 2,798 | $0.00 | |
| 3078F | 0% | 5,601 | $0.00 | |
| 1160F | 0% | 4,435 | $0.00 | |
| 1159F | 0% | 4,437 | $0.00 | |
| 3077F | 0% | 467 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.