El Centro Family Health

El Centro Family Health was paid $150K by Medicaid between Jun 2020 and Jul 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoEL CENTRO FAMILY HEALTH
ROY, NM 87743

33aNPI1275798969assigned 07/23/2008

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$150K

24GClaims1,019

24DCodes billed3

24AFirst – last monthJun 2020 – Jul 2024

Compared with peers

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

Rank by total paid#65 of 80

Median peer was paid$1.11M

This provider vs. median0.1×

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 PEASE, LORE controls 20+ related entities in our dataset. Read more

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
2020	182	$23K
2021	264	$42K
2022	226	$33K
2023	229	$34K
2024incomplete	118	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	58%	589	496	$87K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	415	346	$61K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.8%	15	14	$3K

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 officialPEASE, LORE (CEO)

Same official

Other billing entities under PEASE, LORE

Full network →

Provider	Location	Paid
El Centro Family Health	Espanola, NM	$11.55M
El Centro Family Health	Las Vegas, NM	$7.32M
El Centro Family Health	Espanola, NM	$3.17M
El Centro Family Health	Taos, NM	$2.29M
El Centro Family Health	Penasco, NM	$1.43M
El Centro Family Health	Springer, NM	$1.11M
El Centro Family Health	Embudo, NM	$1.11M
El Centro Family Health	Ribera, NM	$892K
El Centro Family Health	Espanola, NM	$890K
El Centro Family Health	Anton Chico, NM	$550K
El Centro Family Health	Las Vegas, NM	$434K
El Centro Family Health	Espanola, NM	$351K
El Centro Family Health	Coyote, NM	$300K
El Centro Family Health	Las Vegas, NM	$238K
El Centro Family Health	Las Vegas, NM	$186K
El Centro Family Health	Truchas, NM	$163K
El Centro Family Health	Wagon Mound, NM	$136K
El Centro Family Health	Espanola, NM	$73K
El Centro Family Health	Espanola, NM	$59K
El Centro Family Health	Penasco, NM	$18K

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