LA Clinica De Familia, Incorporated
LA Clinica De Familia, Incorporated was paid $2.67M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
LA MESA, NM 88044
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 3,769 | $372K |
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 | 50% | 9,884 | 8,733 | $1.34M |
| 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 | 24% | 5,815 | 5,265 | $642K |
| D0999 | Unspecified diagnostic procedure, by report | 6.4% | 810 | 637 | $171K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.8% | 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 | 2.9% | 994 | 932 | $77K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 393 | 316 | $73K |
| 99441 | 2.3% | 383 | 375 | $60K | |
| 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 | 2.2% | 4,963 | 3,584 | $58K |
| 99442 | 1.2% | 205 | 201 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 243 | 209 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 872 | 857 | $9K |
| 0134A | <1% | 47 | 47 | $8K |
27 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 46 | $8K |
| 82947 | <1% | 1,404 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 877 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 73 | $4K |
| 0012A | <1% | 22 | $4K | |
| 90686 | <1% | 627 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 14 | $3K |
| 85018 | <1% | 989 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 259 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 87430 | <1% | 270 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 170 | $1K |
| 90682 | <1% | 46 | $625.87 | |
| 99406 | <1% | 17 | $506.15 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 29 | $469.07 |
| G0008 | Administration of influenza virus vaccine | <1% | 324 | $381.92 |
| 90674 | <1% | 65 | $315.35 | |
| 90662 | <1% | 210 | $267.19 | |
| 81000 | <1% | 47 | $243.49 | |
| 90656 | <1% | 41 | $127.87 | |
| 90688 | <1% | 29 | $84.16 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 20 | $7.37 |
| 91301 | <1% | 36 | $0.09 | |
| 3074F | 0% | 80 | $0.00 | |
| 3044F | 0% | 30 | $0.00 | |
| 3078F | 0% | 103 | $0.00 | |
| 91313 | 0% | 47 | $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.
Who's on the registration
| 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 | $4.00M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $3.19M |
| 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.