Clinic
LA Clinica De Familia, Incorporated
LA Clinica De Familia, Incorporated was paid $18.22M by Medicaid between Jan 2018 and Nov 2024, across 108 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoLA CLINICA DE FAMILIA, INCORPORATED
LAS CRUCES, NM 88005
LAS CRUCES, NM 88005
33aNPI1528424397assigned 01/11/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$18.22M
24GClaims156,577
24DCodes billed108
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#4 of 80
Median peer was paid$1.11M
This provider vs. median16×
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.
Entity ProliferationAuthorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
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 | 22,396 | $1.94M | |
| 2019 | 27,383 | $2.51M | |
| 2020 | 29,196 | $2.56M | |
| 2021 | 16,819 | $2.15M | |
| 2022 | 21,517 | $3.10M | |
| 2023 | 22,948 | $3.38M | |
| 2024incomplete | 16,318 | $2.59M |
Box 24 · Service lines
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 | 30% | 39,043 | 34,414 | $5.48M |
| D0999 | Unspecified diagnostic procedure, by report | 16% | 14,951 | 12,945 | $2.91M |
| 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 | 8.3% | 10,160 | 9,330 | $1.50M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 5.5% | 5,261 | 1,165 | $1.00M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.3% | 4,969 | 3,552 | $956K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.4% | 4,310 | 3,464 | $803K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.2% | 4,074 | 3,396 | $757K |
| H2014 | Skills training and development, per 15 minutes | 3.4% | 3,327 | 528 | $626K |
| 99441 | 3.0% | 3,337 | 3,148 | $546K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 3,904 | 3,627 | $535K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 2,201 | 2,192 | $336K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 2,170 | 2,088 | $333K |
96 more codes
| 99442 | 1.7% | 1,893 | $301K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,845 | $301K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.5% | 1,449 | $275K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,189 | $192K |
| 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% | 1,644 | $149K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 720 | $135K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 846 | $133K |
| G0467 | Community health center visit, returning patient | <1% | 9,382 | $118K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 632 | $107K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 454 | $87K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 491 | $82K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,326 | $64K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,025 | $59K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,984 | $42K |
| 99381 | <1% | 250 | $41K | |
| 90461 | <1% | 2,388 | $35K | |
| 0011A | <1% | 186 | $33K | |
| 99443 | <1% | 195 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,847 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 105 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,096 | $16K |
| 87430 | <1% | 1,238 | $16K | |
| 0064A | <1% | 155 | $16K | |
| 99406 | <1% | 276 | $13K | |
| 0134A | <1% | 75 | $13K | |
| 0012A | <1% | 71 | $12K | |
| Q3014 | Telehealth originating site facility fee | <1% | 53 | $9K |
| 81000 | <1% | 1,179 | $8K | |
| 90686 | <1% | 2,240 | $7K | |
| 99188 | <1% | 326 | $7K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 51 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 30 | $6K |
| 90715 | <1% | 477 | $6K | |
| 83655 | <1% | 404 | $6K | |
| 0002A | <1% | 31 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $5K |
| 99383 | <1% | 32 | $5K | |
| 90474 | <1% | 697 | $5K | |
| 85018 | <1% | 1,030 | $4K | |
| 99385 | <1% | 28 | $4K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 17 | $3K |
| 0031A | <1% | 18 | $3K | |
| 90682 | <1% | 225 | $3K | |
| 90670 | <1% | 1,341 | $3K | |
| 90732 | <1% | 103 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 26 | $2K |
| D1110 | Prophylaxis - adult | <1% | 741 | $2K |
| 87807 | <1% | 94 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 115 | $1K |
| 99051 | <1% | 364 | $1K | |
| 90651 | <1% | 380 | $960.95 | |
| D0274 | Bitewings - four radiographic images | <1% | 444 | $955.02 |
| 90677 | <1% | 15 | $892.06 | |
| 82947 | <1% | 151 | $647.29 | |
| 90674 | <1% | 100 | $635.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $625.18 |
| D0140 | Limited oral evaluation - problem focused | <1% | 45 | $549.86 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,692 | $534.72 |
| 90633 | <1% | 587 | $518.71 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 624 | $498.68 |
| 90662 | <1% | 130 | $478.78 | |
| G0008 | Administration of influenza virus vaccine | <1% | 405 | $428.77 |
| 90756 | <1% | 54 | $376.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $329.39 |
| 90723 | <1% | 884 | $306.80 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 630 | $293.37 |
| 90685 | <1% | 90 | $279.80 | |
| 90680 | <1% | 720 | $236.99 | |
| 81025 | <1% | 25 | $202.32 | |
| 90734 | <1% | 293 | $201.99 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 36 | $172.42 |
| 82044 | <1% | 17 | $94.40 | |
| 90647 | <1% | 704 | $85.19 | |
| 90688 | <1% | 153 | $76.29 | |
| 90656 | <1% | 14 | $73.40 | |
| 90648 | <1% | 207 | $48.26 | |
| 90700 | <1% | 175 | $28.18 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 41 | $21.29 |
| Q2039 | Influenza virus vaccine, not otherwise specified | <1% | 23 | $9.17 |
| 91301 | <1% | 323 | $1.00 | |
| 3008F | <1% | 254 | $0.42 | |
| 1000F | <1% | 230 | $0.29 | |
| 91300 | <1% | 34 | $0.16 | |
| 3352F | <1% | 74 | $0.06 | |
| 91303 | <1% | 18 | $0.05 | |
| 90707 | 0% | 132 | $0.00 | |
| 91313 | 0% | 74 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| 90710 | 0% | 59 | $0.00 | |
| 90681 | 0% | 14 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 40 | $0.00 |
| D4341 | 0% | 65 | $0.00 | |
| 90696 | 0% | 60 | $0.00 | |
| 91306 | 0% | 167 | $0.00 | |
| 90716 | 0% | 168 | $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 officialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $17.28M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $15.67M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $9.35M |
| LA Clinica De Familia, Incorporated | Sunland Park, NM | $8.57M |
| LA Clinica De Familia, Incorporated | Anthony, NM | $8.08M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $7.13M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $7.03M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $4.00M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $3.19M |
| LA Clinica De Familia, Incorporated | La Mesa, NM | $2.67M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $1.06M |
| LA Clinica De Familia, Incorporated | Santa Teresa, NM | $895K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $557K |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $395K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $297K |
| LA Clinica De Familia, Incorporated | Mesilla, NM | $111K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $65K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.