Clinic
Clayton Health Systems, INC
Clayton Health Systems, INC was paid $669K by Medicaid between Sep 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoCLAYTON HEALTH SYSTEMS, INC
CLAYTON, NM 88415
CLAYTON, NM 88415
33aNPI1265897151assigned 12/21/2015
33bProvider typeRural Health Clinic/Center
28Total paid$669K
24GClaims7,217
24DCodes billed14
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in New Mexico
Rank by total paid#9 of 11
Median peer was paid$2.62M
This provider vs. median0.3×
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 | 84 | $478.66 | |
| 2019 | 891 | $44K | |
| 2020 | 746 | $41K | |
| 2021 | 859 | $45K | |
| 2022 | 1,366 | $84K | |
| 2023 | 1,817 | $248K | |
| 2024incomplete | 1,454 | $206K |
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 | 89% | 5,955 | 5,419 | $596K |
| 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 | 4.4% | 246 | 236 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 263 | 252 | $22K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.5% | 248 | 240 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 152 | 152 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | 36 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 43 | 42 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 52 | 44 | $1K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 17 | 15 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 32 | $181.06 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 119 | 118 | $21.41 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | 12 | $10.99 |
2 more codes
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 officialCHAVEZ, TAMMIE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Clayton Health Systems INC | Clayton, NM | $1.80M |
| Clayton Health Systems INC | Clayton, NM | $80K |
| Clayton Health Systems INC | Clayton, NM | $443.35 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.