El Centro Family Health
El Centro Family Health was paid $73K by Medicaid between Jul 2021 and May 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
ESPANOLA, NM 87532
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 | |
|---|---|---|---|
| 2021 | 188 | $32K | |
| 2022 | 98 | $18K | |
| 2023 | 101 | $18K | |
| 2024incomplete | 43 | $5K |
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 | 66% | 277 | 251 | $49K |
| 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 | 15% | 60 | 58 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10.0% | 38 | 38 | $7K |
| 0002A | 4.8% | 21 | 20 | $4K | |
| 0001A | 4.1% | 18 | 18 | $3K | |
| 3008F | 0% | 16 | 16 | $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 |
|---|---|---|
| El Centro Family Health | Espanola, NM | $11.55M |
| El Centro Family Health | Las Vegas, NM | $7.32M |
| El Centro Family Health | Espanola, NM | $3.17M |
| 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 | $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.