Clinic
Las Clinicas Del Norte, Incorporated
Las Clinicas Del Norte, Incorporated was paid $253K by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoLAS CLINICAS DEL NORTE, INCORPORATED
OJO CALIENTE, NM 87549
OJO CALIENTE, NM 87549
33aNPI1437379880assigned 04/26/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$253K
24GClaims6,013
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#59 of 80
Median peer was paid$1.11M
This provider vs. median0.2×
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 | 3,611 | $190K | |
| 2019 | 1,377 | $34K | |
| 2020 | 863 | $23K | |
| 2021 | 143 | $5K | |
| 2023 | 19 | $659.23 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 63% | 878 | 749 | $160K |
| 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 | 16% | 1,462 | 1,257 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.3% | 808 | 677 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 1,646 | 1,464 | $18K |
| Q3014 | Telehealth originating site facility fee | 4.5% | 218 | 154 | $11K |
| 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 | <1% | 272 | 237 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 123 | 91 | $599.19 |
| 80305 | <1% | 235 | 184 | $381.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 230 | 228 | $77.09 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 34 | 34 | $32.53 |
| G0008 | Administration of influenza virus vaccine | <1% | 34 | 34 | $21.66 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 12 | $5.85 |
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 officialLOPEZ, ANDY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Las Clinicas Del Norte, Incorporated | El Rito, NM | $7.38M |
| Las Clinicas Del Norte Incorporated | Abiquiu, NM | $511K |
| Las Clinicas Del Norte Incorporated | Santa Fe, NM | $106K |
| Las Clinicas Del Norte Incorporated | Ojo Caliente, NM | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.