Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

LA Casa De Buena Salud INC

LA Casa De Buena Salud INC was paid $2.53M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 54% of everything it billed.

33Billing provider infoLA CASA DE BUENA SALUD INC
CLOVIS, NM 88101
33aNPI1518067669assigned 09/25/2006
28Total paid$2.53M
24GClaims50,112
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Mexico

Rank by total paid#29 of 80
Median peer was paid$1.11M
This provider vs. median2.3×

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

$0$50K$100K$150K2018201920202021202220232024
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
20181,116$95K
20193,764$235K
20202,081$154K
20211,703$148K
20223,058$308K
202314,106$735K
2024incomplete24,284$856K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0999 Unspecified diagnostic procedure, by report 54% 7,002 6,000 $1.37M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 4,045 3,742 $602K
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 6.5% 1,459 1,315 $163K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.1% 1,305 1,297 $53K
1000F 1.8% 2,106 1,903 $44K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 204 202 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 158 158 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 154 154 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 150 150 $28K
D0150 Comprehensive oral evaluation - new or established patient 1.0% 811 806 $26K
D1120 Dental cleaning, childProphylaxis - child 1.0% 1,179 1,176 $26K
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% 1,324 1,169 $23K
53 more codes
1126F <1% 2,008 $15K
99383 <1% 63 $12K
99384 <1% 56 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 56 $11K
D0140 Limited oral evaluation - problem focused <1% 246 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 51 $9K
D0220 Intraoral - periapical first radiographic image <1% 1,698 $4K
1125F <1% 756 $4K
99382 <1% 16 $3K
2000F <1% 3,054 $2K
D1110 Prophylaxis - adult <1% 128 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 574 $2K
D1208 Topical application of fluoride, excluding varnish <1% 522 $2K
2001F <1% 3,409 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 56 $1K
D1206 Topical application of fluoride varnish <1% 400 $865.12
D7140 Extraction, erupted tooth or exposed root <1% 40 $807.60
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 18 $600.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 102 $558.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 453 $529.02
1159F <1% 897 $510.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 260 $313.82
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 16 $300.20
1220F <1% 1,083 $260.73
D0274 Bitewings - four radiographic images <1% 509 $200.00
90472 Immunization administration, each additional vaccine (list separately) <1% 65 $183.39
90686 <1% 173 $81.08
81002 <1% 50 $66.00
36415 Collection of venous blood by venipuncture <1% 32 $29.56
3044F <1% 371 $7.39
3210F <1% 483 $7.39
3008F <1% 3,139 $0.08
1160F <1% 896 $0.04
3074F <1% 2,498 $0.03
3078F <1% 1,916 $0.02
D0230 Intraoral - periapical each additional radiographic image 0% 1,150 $0.00
3075F 0% 235 $0.00
4000F 0% 863 $0.00
3079F 0% 968 $0.00
3080F 0% 59 $0.00
D0272 Bitewings - two radiographic images 0% 101 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 29 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 31 $0.00
G0008 Administration of influenza virus vaccine 0% 15 $0.00
87807 0% 12 $0.00
D0601 0% 16 $0.00
3046F 0% 14 $0.00
3077F 0% 157 $0.00
90461 0% 152 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 216 $0.00
90715 0% 64 $0.00
D0330 Panoramic radiographic image 0% 26 $0.00
3051F 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 officialMONTANO, SEFERINO (CEO)
Parent organizationLA CASA DE BUENA SALUD INC
Same official

Other billing entities under MONTANO, SEFERINO

Full network →
ProviderLocationPaid
LA Casa De Buena Salud INC.Portales, NM$19.37M
LA Casa De Buena Salud INCRoswell, NM$10.96M
LA Casa De Buena Salud INCClovis, NM$0.00
LA Casa De Buena Salud INCRoswell, NM$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.