El Centro Family Health
El Centro Family Health was paid $434K by Medicaid between Feb 2020 and Jun 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
LAS VEGAS, NM 87701
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 452 | $74K | |
| 2021 | 959 | $154K | |
| 2022 | 697 | $125K | |
| 2023 | 478 | $80K |
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 | 67% | 1,686 | 1,274 | $292K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 21% | 495 | 246 | $89K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 85 | 52 | $15K |
| 98968 | 2.2% | 56 | 44 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 45 | 45 | $8K |
| 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% | 22 | 21 | $4K |
| 0004A | <1% | 19 | 19 | $3K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 18 | 17 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 17 | $3K |
| 99441 | <1% | 22 | 17 | $3K | |
| 99442 | <1% | 13 | 12 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | 16 | $2K |
2 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| El Centro Family Health | Espanola, NM | $11.55M |
| El Centro Family Health | Las Vegas, NM | $7.32M |
| 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 | 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.