NPI: 1396718631 · LA MESA, NM 88044 · Federally Qualified Health Center (FQHC) · NPI assigned 02/08/2006
Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
| Authorized Official | MEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 02/08/2006 |
Other providers sharing the same authorized official: MEDINA, VIRGIL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,395 | $373K |
| 2019 | 4,021 | $339K |
| 2020 | 4,417 | $342K |
| 2021 | 5,048 | $388K |
| 2022 | 5,259 | $428K |
| 2023 | 4,301 | $422K |
| 2024 | 3,769 | $372K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,884 | 8,733 | $1.34M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5,815 | 5,265 | $642K |
| D0999 | Unspecified diagnostic procedure, by report | 810 | 637 | $171K |
| 90832 | Psychotherapy, 30 minutes with patient | 712 | 590 | $128K |
| 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 | 994 | 932 | $77K |
| 90834 | Psychotherapy, 45 minutes with patient | 393 | 316 | $73K |
| 99441 | 383 | 375 | $60K | |
| 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 | 4,963 | 3,584 | $58K |
| 99442 | 205 | 201 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 243 | 209 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 872 | 857 | $9K |
| 0134A | 47 | 47 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 46 | 46 | $8K |
| 82947 | 1,404 | 1,248 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 877 | 805 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 73 | 54 | $4K |
| 0012A | 22 | 22 | $4K | |
| 90686 | 627 | 615 | $3K | |
| 90837 | Psychotherapy, 53 minutes with patient | 14 | 12 | $3K |
| 85018 | 989 | 965 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 259 | 252 | $3K |
| 90791 | Psychiatric diagnostic evaluation | 14 | 14 | $2K |
| 87430 | 270 | 263 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 170 | 169 | $1K |
| 90682 | 46 | 45 | $625.87 | |
| 99406 | 17 | 17 | $506.15 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 29 | 27 | $469.07 |
| G0008 | Administration of influenza virus vaccine | 324 | 247 | $381.92 |
| 90674 | 65 | 65 | $315.35 | |
| 90662 | 210 | 159 | $267.19 | |
| 81000 | 47 | 46 | $243.49 | |
| 90656 | 41 | 41 | $127.87 | |
| 90688 | 29 | 27 | $84.16 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 20 | 13 | $7.37 |
| 91301 | 36 | 36 | $0.09 | |
| 3074F | 80 | 80 | $0.00 | |
| 3044F | 30 | 30 | $0.00 | |
| 3078F | 103 | 103 | $0.00 | |
| 91313 | 47 | 47 | $0.00 |