Clinic
Acoma-Canoncito-Laguna Indian Health Center
Acoma-Canoncito-Laguna Indian Health Center was paid $1.63M by Medicaid between Jan 2018 and Jun 2024, across 20 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 28% of everything it billed.
33Billing provider infoACOMA-CANONCITO-LAGUNA INDIAN HEALTH CENTER
ACOMA, NM 87034
ACOMA, NM 87034
33aNPI1225103922assigned 11/21/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$1.63M
24GClaims9,319
24DCodes billed20
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Health Service Clinic/Center providers in New Mexico
Rank by total paid#3 of 17
Median peer was paid$243K
This provider vs. median6.7×
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 | 2,500 | $146K | |
| 2019 | 2,348 | $177K | |
| 2020 | 1,581 | $301K | |
| 2021 | 2,194 | $754K | |
| 2022 | 543 | $239K | |
| 2023 | 139 | $11K | |
| 2024incomplete | 14 | $282.17 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 28% | 5,680 | 3,851 | $455K |
| Q3014 | Telehealth originating site facility fee | 15% | 511 | 428 | $241K |
| 0011A | 10% | 348 | 327 | $168K | |
| 0012A | 9.6% | 316 | 305 | $156K | |
| 0001A | 9.4% | 311 | 297 | $154K | |
| 0002A | 8.9% | 297 | 281 | $145K | |
| 0124A | 7.9% | 205 | 204 | $129K | |
| 0064A | 3.2% | 90 | 90 | $51K | |
| 0054A | 1.9% | 51 | 51 | $31K | |
| 0154A | 1.5% | 38 | 38 | $24K | |
| 0004A | 1.4% | 43 | 43 | $22K | |
| 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% | 1,111 | 1,042 | $15K |
8 more codes
| 0072A | <1% | 24 | $12K | |
| 0081A | <1% | 17 | $11K | |
| 0071A | <1% | 15 | $8K | |
| 99050 | <1% | 144 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $514.44 |
| G0008 | Administration of influenza virus vaccine | <1% | 63 | $71.88 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 28 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $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 officialALLEY, DELAINE (CEO)