Clinic
El Centro Family Health
El Centro Family Health was paid $3.17M by Medicaid between Jan 2018 and Nov 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoEL CENTRO FAMILY HEALTH
ESPANOLA, NM 87532
ESPANOLA, NM 87532
33aNPI1285899054assigned 07/22/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.17M
24GClaims34,751
24DCodes billed57
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#25 of 80
Median peer was paid$1.11M
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 3,237 | $255K | |
| 2019 | 1,987 | $41K | |
| 2020 | 8,487 | $811K | |
| 2021 | 5,245 | $621K | |
| 2022 | 2,617 | $251K | |
| 2023 | 7,725 | $751K | |
| 2024incomplete | 5,453 | $440K |
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 | 37% | 9,565 | 8,145 | $1.17M |
| 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 | 30% | 6,847 | 6,179 | $963K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 1,919 | 1,620 | $208K |
| D0999 | Unspecified diagnostic procedure, by report | 6.5% | 1,264 | 1,074 | $204K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.9% | 878 | 570 | $124K |
| 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 | 3.1% | 4,287 | 3,371 | $98K |
| H0038 | Self-help/peer services, per 15 minutes | 3.0% | 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 | 1.8% | 1,410 | 983 | $56K |
| 99442 | 1.1% | 241 | 214 | $34K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 170 | 170 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 173 | 168 | $27K |
| 99441 | <1% | 202 | 182 | $26K |
45 more codes
| 0012A | <1% | 113 | $19K | |
| 90837 | Psychotherapy session, about an hour | <1% | 94 | $17K |
| H0049 | Alcohol and/or drug screening | <1% | 106 | $14K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 121 | $12K |
| 0011A | <1% | 68 | $11K | |
| H2030 | Mental health clubhouse services, per 15 minutes | <1% | 49 | $10K |
| 80305 | <1% | 1,516 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,139 | $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 | <1% | 116 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $4K |
| 99443 | <1% | 22 | $4K | |
| 0064A | <1% | 25 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 603 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $2K |
| 0124A | <1% | 34 | $2K | |
| 0013A | <1% | 14 | $2K | |
| 90670 | <1% | 116 | $2K | |
| 90688 | <1% | 233 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 352 | $1K |
| 99000 | <1% | 152 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $990.00 |
| 0134A | <1% | 17 | $627.53 | |
| 81002 | <1% | 221 | $547.33 | |
| 0004A | <1% | 42 | $538.86 | |
| 0002A | <1% | 15 | $538.86 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 89 | $534.34 |
| 90677 | <1% | 13 | $485.84 | |
| 0001A | <1% | 20 | $359.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 861 | $300.90 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $100.82 |
| 85610 | <1% | 80 | $66.75 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 55 | $56.20 |
| 90715 | <1% | 13 | $51.06 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $26.61 |
| 90686 | <1% | 68 | $17.28 | |
| 81025 | <1% | 28 | $17.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $13.06 |
| 90723 | <1% | 12 | $10.92 | |
| 90698 | <1% | 12 | $8.98 | |
| 90648 | <1% | 18 | $5.46 | |
| 1220F | 0% | 52 | $0.00 | |
| 3008F | 0% | 608 | $0.00 | |
| 3351F | 0% | 34 | $0.00 | |
| 4010F | 0% | 12 | $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 officialPEASE, LORE (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.