Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LA CLINICA DE FAMILIA, INCORPORATED

NPI: 1528424397 · LAS CRUCES, NM 88005 · Federally Qualified Health Center (FQHC) · NPI assigned 01/11/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more

$18.22M
Total Medicaid Paid
156,577
Total Claims
134,072
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/11/2016

Related Entities

Other providers sharing the same authorized official: MEDINA, VIRGIL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,318 $2.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,043 34,414 $5.48M
D0999 Unspecified diagnostic procedure, by report 14,951 12,945 $2.91M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,160 9,330 $1.50M
H2015 Comprehensive community support services, per 15 minutes 5,261 1,165 $1.00M
90837 Psychotherapy, 53 minutes with patient 4,969 3,552 $956K
90834 Psychotherapy, 45 minutes with patient 4,310 3,464 $803K
90832 Psychotherapy, 30 minutes with patient 4,074 3,396 $757K
H2014 Skills training and development, per 15 minutes 3,327 528 $626K
99441 3,337 3,148 $546K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,904 3,627 $535K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,201 2,192 $336K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,170 2,088 $333K
99442 1,893 1,797 $301K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,845 1,838 $301K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 1,449 1,445 $275K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,189 1,187 $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 1,644 1,546 $149K
90791 Psychiatric diagnostic evaluation 720 715 $135K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 846 823 $133K
G0467 Federally 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 9,382 6,625 $118K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 632 626 $107K
90847 Family psychotherapy with the patient present, 50 minutes 454 394 $87K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 491 488 $82K
83036 Hemoglobin; glycosylated (A1C) 5,326 4,811 $64K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,025 812 $59K
90460 Immunization administration through 18 years of age via any route, first or only component 3,984 3,966 $42K
99381 250 231 $41K
90461 2,388 2,378 $35K
0011A 186 186 $33K
99443 195 188 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,847 1,795 $24K
99215 Prolong outpt/office vis 105 104 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,096 1,047 $16K
87430 1,238 1,198 $16K
0064A 155 151 $16K
99406 276 247 $13K
0134A 75 75 $13K
0012A 71 71 $12K
Q3014 Telehealth originating site facility fee 53 49 $9K
81000 1,179 1,080 $8K
90686 2,240 2,214 $7K
99188 326 318 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 51 47 $7K
90853 Group psychotherapy (other than of a multiple-family group) 30 12 $6K
90715 477 454 $6K
83655 404 402 $6K
0002A 31 31 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 42 37 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 38 37 $5K
99383 32 32 $5K
90474 697 695 $5K
85018 1,030 1,001 $4K
99385 28 28 $4K
90846 Family psychotherapy without the patient present, 50 minutes 17 17 $3K
0031A 18 18 $3K
90682 225 217 $3K
90670 1,341 1,314 $3K
90732 103 95 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 26 12 $2K
D1110 Prophylaxis - adult 741 740 $2K
87807 94 91 $1K
D0150 Comprehensive oral evaluation - new or established patient 115 115 $1K
99051 364 356 $1K
90651 380 377 $960.95
D0274 Bitewings - four radiographic images 444 444 $955.02
90677 15 15 $892.06
82947 151 126 $647.29
90674 100 99 $635.06
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $625.18
D0140 Limited oral evaluation - problem focused 45 45 $549.86
D0220 Intraoral - periapical first radiographic image 1,692 1,669 $534.72
90633 587 583 $518.71
D1208 Topical application of fluoride, excluding varnish 624 623 $498.68
90662 130 99 $478.78
G0008 Administration of influenza virus vaccine 405 294 $428.77
90756 54 54 $376.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 27 $329.39
90723 884 881 $306.80
D0230 Intraoral - periapical each additional radiographic image 630 610 $293.37
90685 90 90 $279.80
90680 720 720 $236.99
81025 25 24 $202.32
90734 293 292 $201.99
90472 Immunization administration, each additional vaccine (list separately) 36 36 $172.42
82044 17 17 $94.40
90647 704 700 $85.19
90688 153 152 $76.29
90656 14 13 $73.40
90648 207 207 $48.26
90700 175 173 $28.18
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 41 24 $21.29
Q2039 Influenza virus vaccine, not otherwise specified 23 17 $9.17
91301 323 320 $1.00
3008F 254 234 $0.42
1000F 230 216 $0.29
91300 34 34 $0.16
3352F 74 74 $0.06
91303 18 18 $0.05
90707 132 130 $0.00
91313 74 74 $0.00
D1120 Prophylaxis - child 12 12 $0.00
90710 59 59 $0.00
90681 14 14 $0.00
D0330 Panoramic radiographic image 40 40 $0.00
D4341 65 28 $0.00
90696 60 60 $0.00
91306 167 163 $0.00
90716 168 166 $0.00