Physician
Pinon Family Practice PC
Pinon Family Practice PC was paid $5.78M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPINON FAMILY PRACTICE PC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1598879652assigned 08/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.78M
24GClaims111,830
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#13 of 148
Median peer was paid$167K
This provider vs. median35×
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
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 | 11,714 | $462K | |
| 2019 | 13,390 | $635K | |
| 2020 | 14,318 | $732K | |
| 2021 | 18,854 | $869K | |
| 2022 | 20,814 | $937K | |
| 2023 | 19,374 | $1.09M | |
| 2024incomplete | 13,366 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 25,436 | 24,017 | $2.41M |
| 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% | 33,443 | 31,707 | $2.27M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 1,217 | 1,213 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 5,895 | 5,824 | $124K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 1,042 | 1,041 | $112K |
| 80050 | General health panel | 1.7% | 2,020 | 2,008 | $101K |
| 90461 | 1.3% | 1,806 | 1,802 | $75K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 573 | 570 | $62K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 310 | 290 | $49K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,823 | 11,246 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 452 | 450 | $48K |
| 80061 | Lipid panel | <1% | 3,400 | 3,361 | $46K |
45 more codes
| 80053 | Comprehensive metabolic panel | <1% | 3,281 | $46K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,394 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,115 | $35K |
| 90686 | <1% | 3,126 | $21K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 202 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,620 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,042 | $17K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,806 | $17K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 145 | $15K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 496 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 437 | $9K |
| S9999 | Sales tax | <1% | 1,533 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 255 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 251 | $7K |
| 80305 | <1% | 462 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 213 | $3K |
| 87807 | <1% | 217 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $2K |
| 81003 | <1% | 1,301 | $2K | |
| 82607 | <1% | 161 | $2K | |
| 84439 | <1% | 193 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $1K |
| 81001 | <1% | 296 | $1K | |
| 87210 | <1% | 154 | $820.38 | |
| 81025 | <1% | 83 | $671.59 | |
| 0071A | <1% | 16 | $640.00 | |
| 83540 | <1% | 114 | $630.06 | |
| 82728 | <1% | 51 | $617.40 | |
| 99421 | <1% | 14 | $509.60 | |
| 90715 | <1% | 12 | $114.39 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 19 | $83.93 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 12 | $54.35 |
| 99072 | <1% | 659 | $35.86 | |
| 90687 | <1% | 14 | $10.06 | |
| 90710 | 0% | 37 | $0.00 | |
| 90670 | 0% | 266 | $0.00 | |
| 90633 | 0% | 46 | $0.00 | |
| 91300 | 0% | 84 | $0.00 | |
| 90698 | 0% | 41 | $0.00 | |
| 91307 | 0% | 72 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90680 | 0% | 51 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| 90651 | 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 officialMOHLER, ADANA (CLINIC MANAGER)