Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

LA Clinica De Familia, Incorporated

LA Clinica De Familia, Incorporated was paid $3.19M by Medicaid between Jan 2018 and Sep 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoLA CLINICA DE FAMILIA, INCORPORATED
LAS CRUCES, NM 88005
33aNPI1205809944assigned 02/13/2006
28Total paid$3.19M
24GClaims34,613
24DCodes billed56
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Mexico

Rank by total paid#24 of 80
Median peer was paid$1.11M
This provider vs. median2.9×

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.

Entity ProliferationAuthorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20184,414$446K
20194,473$547K
202029$0.00
20219,721$716K
20228,305$684K
20235,335$539K
2024incomplete2,336$258K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 6,718 6,087 $1.13M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16% 3,478 2,943 $520K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 2,107 2,094 $361K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 2,020 1,841 $337K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.0% 1,620 1,608 $288K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.7% 1,027 1,025 $181K
99441 2.8% 498 480 $89K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.4% 285 285 $46K
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 1.3% 258 258 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 1.0% 4,044 4,021 $33K
90461 1.0% 2,410 2,395 $32K
99381 <1% 155 154 $28K
44 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 111 $18K
81000 <1% 1,149 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 101 $13K
H2015 Community support for mental illness or disability, per 15 minutes <1% 57 $9K
99203 Doctor's office visit, new patient (routine) <1% 50 $8K
81025 <1% 581 $7K
90834 Psychotherapy session, about 45 minutes <1% 38 $6K
90837 Psychotherapy session, about an hour <1% 30 $5K
99188 <1% 358 $5K
90832 Psychotherapy session, about 30 minutes <1% 24 $4K
90474 <1% 472 $3K
H0039 Assertive community treatment, face-to-face, per 15 minutes <1% 38 $3K
90697 <1% 233 $3K
87430 <1% 146 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 111 $2K
83655 <1% 135 $1K
85018 <1% 281 $956.63
59025 Fetal non-stress test <1% 28 $949.06
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 65 $718.79
90674 <1% 63 $697.19
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 14 $695.98
86580 <1% 28 $432.81
90715 <1% 58 $210.98
90619 <1% 40 $201.78
90651 <1% 232 $184.53
59899 <1% 41 $166.06
0502F <1% 132 $166.06
90670 <1% 937 $100.56
90734 <1% 107 $50.87
90686 <1% 1,424 $35.06
90633 <1% 556 $32.53
90647 <1% 549 $15.47
1000F <1% 46 $0.04
90677 0% 155 $0.00
90723 0% 627 $0.00
90696 0% 50 $0.00
90716 0% 108 $0.00
90680 0% 34 $0.00
90681 0% 361 $0.00
90707 0% 93 $0.00
90671 0% 163 $0.00
90710 0% 53 $0.00
90700 0% 102 $0.00
90621 0% 12 $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 officialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
Same official

Other billing entities under MEDINA, VIRGIL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.