Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201810,758$675K
20196,697$518K
202063$13K
2021428$87K
2022422$85K
2023433$73K
2024incomplete39$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)