Dental
LA Familia Medical Center
LA Familia Medical Center was paid $9.06M by Medicaid between Jan 2018 and Nov 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoLA FAMILIA MEDICAL CENTER
SANTA FE, NM 87501
SANTA FE, NM 87501
33aNPI1346251782assigned 08/10/2006
33bProvider typeDentist
28Total paid$9.06M
24GClaims123,970
24DCodes billed109
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#3 of 179
Median peer was paid$47K
This provider vs. median193×
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 | 28,720 | $1.86M | |
| 2019 | 21,914 | $1.47M | |
| 2020 | 20,306 | $1.68M | |
| 2021 | 19,883 | $1.57M | |
| 2022 | 15,604 | $1.24M | |
| 2023 | 11,485 | $762K | |
| 2024incomplete | 6,058 | $479K |
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 | 36% | 24,282 | 20,891 | $3.30M |
| D0999 | Unspecified diagnostic procedure, by report | 19% | 9,776 | 8,820 | $1.68M |
| 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 | 10% | 7,993 | 7,194 | $917K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 3,190 | 2,774 | $523K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 2,023 | 2,006 | $333K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 1,389 | 1,382 | $230K |
| 99442 | 2.5% | 1,446 | 1,347 | $230K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 1,525 | 1,461 | $229K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,178 | 1,169 | $193K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 1,393 | 947 | $172K |
| 99441 | 1.8% | 984 | 935 | $165K | |
| 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 | 1.2% | 6,982 | 5,133 | $106K |
97 more codes
| Q3014 | Telehealth originating site facility fee | 1.1% | 4,869 | $101K |
| 98968 | <1% | 475 | $81K | |
| 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% | 1,761 | $73K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 473 | $71K |
| 98967 | <1% | 406 | $64K | |
| 99443 | <1% | 370 | $61K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 922 | $60K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,921 | $57K |
| 0012A | <1% | 324 | $52K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 349 | $44K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 313 | $41K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 210 | $36K |
| 0011A | <1% | 251 | $32K | |
| 97802 | <1% | 198 | $31K | |
| 0064A | <1% | 246 | $26K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 120 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 143 | $19K |
| 0072A | <1% | 109 | $19K | |
| 0071A | <1% | 107 | $17K | |
| 0134A | <1% | 204 | $12K | |
| 0003A | <1% | 67 | $8K | |
| 0124A | <1% | 109 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $5K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 45 | $5K |
| 98960 | <1% | 26 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $3K |
| 0001A | <1% | 25 | $3K | |
| 98966 | <1% | 15 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $2K |
| 0111A | <1% | 14 | $2K | |
| 99000 | <1% | 7,874 | $2K | |
| 99460 | <1% | 12 | $2K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 20 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 1,291 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,995 | $792.00 |
| 80305 | <1% | 6,422 | $725.02 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,795 | $655.03 |
| 90715 | <1% | 599 | $432.74 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,239 | $301.31 |
| 91322 | <1% | 20 | $201.78 | |
| 90480 | <1% | 33 | $201.78 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,454 | $197.94 |
| 90670 | <1% | 817 | $191.21 | |
| 90648 | <1% | 615 | $177.14 | |
| 90651 | <1% | 116 | $173.84 | |
| 99188 | <1% | 598 | $145.55 | |
| 90686 | <1% | 2,148 | $143.28 | |
| 86803 | <1% | 273 | $124.77 | |
| 90461 | <1% | 2,587 | $62.40 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 332 | $50.86 |
| G0008 | Administration of influenza virus vaccine | <1% | 245 | $49.94 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 168 | $37.26 |
| 81025 | <1% | 435 | $33.51 | |
| 81003 | <1% | 766 | $31.85 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 94 | $25.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 267 | $23.00 |
| 81005 | <1% | 171 | $15.06 | |
| 85018 | <1% | 801 | $9.78 | |
| 82948 | <1% | 13 | $6.75 | |
| 90662 | <1% | 48 | $4.24 | |
| 90688 | <1% | 109 | $2.16 | |
| 3044F | <1% | 82 | $0.02 | |
| 90633 | 0% | 690 | $0.00 | |
| 91312 | 0% | 67 | $0.00 | |
| 3046F | 0% | 12 | $0.00 | |
| 90734 | 0% | 149 | $0.00 | |
| 91313 | 0% | 201 | $0.00 | |
| 91300 | 0% | 354 | $0.00 | |
| 90649 | 0% | 151 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 27 | $0.00 |
| 90710 | 0% | 45 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 99173 | 0% | 12 | $0.00 | |
| 90672 | 0% | 40 | $0.00 | |
| 3045F | 0% | 15 | $0.00 | |
| 90655 | 0% | 100 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 15 | $0.00 |
| 90700 | 0% | 28 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 15 | $0.00 |
| 90473 | 0% | 31 | $0.00 | |
| 91311 | 0% | 20 | $0.00 | |
| 90716 | 0% | 73 | $0.00 | |
| 90698 | 0% | 66 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 91301 | 0% | 701 | $0.00 | |
| 90680 | 0% | 485 | $0.00 | |
| 90723 | 0% | 640 | $0.00 | |
| 91307 | 0% | 539 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 179 | $0.00 |
| 91306 | 0% | 334 | $0.00 | |
| 90696 | 0% | 56 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 90697 | 0% | 14 | $0.00 | |
| 99406 | 0% | 14 | $0.00 | |
| 88720 | 0% | 13 | $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 officialVAN PELT, BRANDON (CEO)
| Provider | Location | Paid |
|---|---|---|
| LA Familia Medical Center | Santa Fe, NM | $4.70M |
| LA Familia Medical Center | Santa Fe, NM | $551K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.