Clinic
El Centro Family Health
El Centro Family Health was paid $7.32M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoEL CENTRO FAMILY HEALTH
LAS VEGAS, NM 87701
LAS VEGAS, NM 87701
33aNPI1548425911assigned 07/24/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.32M
24GClaims72,120
24DCodes billed61
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#17 of 80
Median peer was paid$1.11M
This provider vs. median6.6×
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 PEASE, LORE controls 20+ 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 | 4,289 | $88K | |
| 2019 | 3,808 | $82K | |
| 2020 | 12,004 | $1.18M | |
| 2021 | 15,404 | $2.04M | |
| 2022 | 13,994 | $1.80M | |
| 2023 | 13,594 | $1.44M | |
| 2024incomplete | 9,027 | $684K |
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 | 39% | 21,730 | 16,762 | $2.87M |
| 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 | 24% | 12,996 | 10,468 | $1.73M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.2% | 3,127 | 2,161 | $525K |
| D0999 | Unspecified diagnostic procedure, by report | 6.2% | 2,117 | 1,887 | $450K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 1,819 | 1,494 | $230K |
| 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 | 2.9% | 8,512 | 6,053 | $211K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.8% | 1,315 | 800 | $205K |
| H0038 | Self-help/peer services, per 15 minutes | 2.4% | 1,022 | 781 | $173K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.1% | 3,664 | 2,179 | $153K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 738 | 563 | $121K |
| 99442 | 1.2% | 580 | 485 | $86K | |
| 99443 | <1% | 380 | 295 | $61K |
49 more codes
| 0003A | <1% | 330 | $56K | |
| 0002A | <1% | 316 | $54K | |
| 0012A | <1% | 303 | $52K | |
| 0001A | <1% | 280 | $47K | |
| 0011A | <1% | 258 | $45K | |
| 0013A | <1% | 174 | $30K | |
| 0004A | <1% | 165 | $27K | |
| 80305 | <1% | 2,912 | $23K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 156 | $22K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 86 | $14K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 378 | $14K |
| 99441 | <1% | 117 | $13K | |
| 0124A | <1% | 103 | $13K | |
| H0049 | Alcohol and/or drug screening | <1% | 157 | $12K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 63 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,409 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 65 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 53 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 101 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $7K |
| 0134A | <1% | 52 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 600 | $5K |
| 90688 | <1% | 318 | $3K | |
| 99000 | <1% | 467 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 450 | $2K |
| 0072A | <1% | 12 | $2K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 135 | $2K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 15 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,718 | $1K |
| 81002 | <1% | 504 | $1K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 12 | $615.56 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 127 | $520.11 |
| 97802 | <1% | 26 | $211.27 | |
| G0466 | Community health center visit, new patient | <1% | 16 | $161.05 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $142.61 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 44 | $79.27 |
| 90686 | <1% | 12 | $65.39 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 41 | $61.05 |
| 81025 | <1% | 41 | $50.57 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $44.21 |
| G0008 | Administration of influenza virus vaccine | <1% | 34 | $29.13 |
| 3008F | <1% | 1,289 | $11.58 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 15 | $0.00 |
| 1220F | 0% | 219 | $0.00 | |
| 3351F | 0% | 211 | $0.00 | |
| 4010F | 0% | 15 | $0.00 | |
| 3078F | 0% | 28 | $0.00 | |
| 4001F | 0% | 144 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 39 | $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 officialPEASE, LORE (CEO)
| Provider | Location | Paid |
|---|---|---|
| El Centro Family Health | Espanola, NM | $11.55M |
| El Centro Family Health | Espanola, NM | $3.17M |
| El Centro Family Health | Taos, NM | $2.29M |
| El Centro Family Health | Penasco, NM | $1.43M |
| El Centro Family Health | Springer, NM | $1.11M |
| El Centro Family Health | Embudo, NM | $1.11M |
| El Centro Family Health | Ribera, NM | $892K |
| El Centro Family Health | Espanola, NM | $890K |
| El Centro Family Health | Anton Chico, NM | $550K |
| El Centro Family Health | Las Vegas, NM | $434K |
| El Centro Family Health | Espanola, NM | $351K |
| El Centro Family Health | Coyote, NM | $300K |
| El Centro Family Health | Las Vegas, NM | $238K |
| El Centro Family Health | Las Vegas, NM | $186K |
| El Centro Family Health | Truchas, NM | $163K |
| El Centro Family Health | Roy, NM | $150K |
| El Centro Family Health | Wagon Mound, NM | $136K |
| El Centro Family Health | Espanola, NM | $73K |
| El Centro Family Health | Espanola, NM | $59K |
| El Centro Family Health | Penasco, NM | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.