Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ESPANOLA › EL CENTRO FAMILY HEALTH

EL CENTRO FAMILY HEALTH

NPI: 1285899054 · ESPANOLA, NM 87532 · Federally Qualified Health Center (FQHC) · NPI assigned 07/22/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$3.17M
Total Medicaid Paid
34,751
Total Claims
29,924
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEASE, LORE (CEO)
NPI Enumeration Date07/22/2008

Related Entities

Other providers sharing the same authorized official: PEASE, LORE

ProviderCityStateTotal Paid
EL CENTRO FAMILY HEALTH ESPANOLA NM $11.55M
EL CENTRO FAMILY HEALTH LAS VEGAS NM $7.32M
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 ROY NM $150K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,237 $255K
2019 1,987 $41K
2020 8,487 $811K
2021 5,245 $621K
2022 2,617 $251K
2023 7,725 $751K
2024 5,453 $440K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,565 8,145 $1.17M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,847 6,179 $963K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,919 1,620 $208K
D0999 Unspecified diagnostic procedure, by report 1,264 1,074 $204K
90834 Psychotherapy, 45 minutes with patient 878 570 $124K
G0467 Federally 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 4,287 3,371 $98K
H0038 Self-help/peer services, per 15 minutes 550 442 $96K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,410 983 $56K
99442 241 214 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 170 170 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 173 168 $27K
99441 202 182 $26K
0012A 113 113 $19K
90837 Psychotherapy, 53 minutes with patient 94 70 $17K
H0049 Alcohol and/or drug screening 106 106 $14K
90832 Psychotherapy, 30 minutes with patient 121 92 $12K
0011A 68 68 $11K
H2030 Mental health clubhouse services, per 15 minutes 49 41 $10K
80305 1,516 1,407 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,139 1,099 $5K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 116 87 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21 20 $4K
99443 22 22 $4K
0064A 25 25 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 603 563 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $2K
0124A 34 33 $2K
0013A 14 13 $2K
90670 116 116 $2K
90688 233 224 $1K
83036 Hemoglobin; glycosylated (A1C) 352 347 $1K
99000 152 147 $1K
90791 Psychiatric diagnostic evaluation 14 13 $990.00
0134A 17 17 $627.53
81002 221 183 $547.33
0004A 42 41 $538.86
0002A 15 15 $538.86
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 89 85 $534.34
90677 13 13 $485.84
0001A 20 16 $359.24
36415 Collection of venous blood by venipuncture 861 824 $300.90
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $100.82
85610 80 66 $66.75
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 55 53 $56.20
90715 13 13 $51.06
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $26.61
90686 68 67 $17.28
81025 28 28 $17.00
G0008 Administration of influenza virus vaccine 13 12 $13.06
90723 12 12 $10.92
90698 12 12 $8.98
90648 18 18 $5.46
1220F 52 52 $0.00
3008F 608 573 $0.00
3351F 34 34 $0.00
4010F 12 12 $0.00