Clinic
LA Clinica De Familia, Incorporated
LA Clinica De Familia, Incorporated was paid $4.00M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 50% of everything it billed.
33Billing provider infoLA CLINICA DE FAMILIA, INCORPORATED
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1285607754assigned 02/07/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.00M
24GClaims33,481
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#23 of 80
Median peer was paid$1.11M
This provider vs. median3.6×
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
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 | 7,171 | $877K | |
| 2019 | 5,076 | $463K | |
| 2020 | 3,740 | $429K | |
| 2021 | 3,834 | $451K | |
| 2022 | 5,219 | $653K | |
| 2023 | 5,248 | $694K | |
| 2024incomplete | 3,193 | $438K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 50% | 10,545 | 8,571 | $1.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 9,033 | 7,767 | $1.15M |
| 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 | 4.6% | 1,588 | 1,392 | $183K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 695 | 490 | $127K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 2.9% | 668 | 89 | $116K |
| 99441 | 2.5% | 578 | 554 | $98K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 567 | 532 | $92K |
| 99442 | 1.6% | 395 | 381 | $65K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 324 | 253 | $56K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,079 | 2,086 | $40K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 427 | 386 | $35K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,773 | 1,570 | $20K |
22 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 39 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 43 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 351 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 79 | $5K |
| 0134A | <1% | 15 | $3K | |
| 90686 | <1% | 291 | $2K | |
| 87430 | <1% | 46 | $549.00 | |
| 90674 | <1% | 74 | $539.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $410.32 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $347.82 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $345.72 |
| 81000 | <1% | 16 | $143.64 | |
| G0008 | Administration of influenza virus vaccine | <1% | 27 | $2.90 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,076 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 69 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 261 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 296 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 91313 | 0% | 15 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 416 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 467 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 146 | $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)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $18.22M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $17.28M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $15.67M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $9.35M |
| LA Clinica De Familia, Incorporated | Sunland Park, NM | $8.57M |
| LA Clinica De Familia, Incorporated | Anthony, NM | $8.08M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $7.13M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $7.03M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $3.19M |
| LA Clinica De Familia, Incorporated | La Mesa, NM | $2.67M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $1.06M |
| LA Clinica De Familia, Incorporated | Santa Teresa, NM | $895K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $557K |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $395K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $297K |
| LA Clinica De Familia, Incorporated | Mesilla, NM | $111K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $65K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.