Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Tierra Amarilla › NPI 1598797805

LA Clinica Del Pueblo De Rio Arriba

LA Clinica Del Pueblo De Rio Arriba was paid $385K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 52% of everything it billed.

33Billing provider infoLA CLINICA DEL PUEBLO DE RIO ARRIBA
TIERRA AMARILLA, NM 87575
33aNPI1598797805assigned 07/07/2006
28Total paid$385K
24GClaims4,966
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Orthopedic Physical Therapist providers in New Mexico

Rank by total paid#3 of 5
Median peer was paid$385K
This provider vs. median1.0×

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$10K$20K2018201920202021202220232024
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
20181,505$85K
2019831$51K
20201,238$92K
2021883$90K
2022275$38K
2023178$20K
2024incomplete56$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0999 Unspecified diagnostic procedure, by report 52% 1,171 988 $201K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 18% 390 281 $68K
90792 Psychiatric diagnostic evaluation with medical services 10% 233 227 $40K
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 7.1% 1,592 1,077 $27K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 6.2% 147 119 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 417 327 $18K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 192 156 $4K
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% 824 598 $3K

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 officialHORAN, LEONARD (EXECUTIVE DIRECTOR)