Supplier
Pecos Valley Medical Center, INC
Pecos Valley Medical Center, INC was paid $1.46M by Medicaid between Jan 2018 and Feb 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoPECOS VALLEY MEDICAL CENTER, INC
PECOS, NM 87552
PECOS, NM 87552
33aNPI1497801047assigned 01/26/2007
33bProvider typeClinic Pharmacy
28Total paid$1.46M
24GClaims18,840
24DCodes billed29
24AFirst – last monthJan 2018 – Feb 2024
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 | 10,758 | $675K | |
| 2019 | 6,697 | $518K | |
| 2020 | 63 | $13K | |
| 2021 | 428 | $87K | |
| 2022 | 422 | $85K | |
| 2023 | 433 | $73K | |
| 2024incomplete | 39 | $4K |
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 | 73% | 6,094 | 4,309 | $1.06M |
| D0999 | Unspecified diagnostic procedure, by report | 24% | 1,805 | 1,559 | $344K |
| 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 | 1.4% | 872 | 719 | $20K |
| S9999 | Sales tax | <1% | 891 | 594 | $11K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 296 | 242 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,376 | 2,055 | $4K |
| 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% | 2,305 | 1,853 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 25 | 14 | $2K |
| 81002 | <1% | 1,367 | 966 | $1K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 148 | 106 | $675.60 |
| 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% | 24 | 24 | $625.07 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 599 | 550 | $477.30 |
17 more codes
| 81003 | <1% | 288 | $361.73 | |
| 36416 | <1% | 243 | $177.89 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 161 | $177.89 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 210 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 396 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 116 | $0.00 |
| 90656 | 0% | 108 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 108 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 14 | $0.00 |
| 99173 | 0% | 64 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 46 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 209 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 87400 | 0% | 13 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 24 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 94150 | 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 officialNORRIS, KEVIN (CFO)