El Centro Family Health
El Centro Family Health was paid $1.11M by Medicaid between Feb 2018 and Aug 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
SPRINGER, NM 87747
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 | |
|---|---|---|---|
| 2018 | 14 | $163.75 | |
| 2019 | 64 | $841.65 | |
| 2020 | 973 | $133K | |
| 2021 | 2,082 | $294K | |
| 2022 | 2,155 | $329K | |
| 2023 | 1,626 | $243K | |
| 2024incomplete | 956 | $111K |
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 | 57% | 3,828 | 3,159 | $634K |
| 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 | 20% | 1,472 | 1,299 | $224K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.3% | 692 | 623 | $81K |
| 90863 | 4.3% | 359 | 353 | $48K | |
| Q3014 | Telehealth originating site facility fee | 4.1% | 356 | 345 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 204 | 178 | $35K |
| 99442 | 1.5% | 102 | 89 | $17K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.0% | 331 | 224 | $11K |
| 0002A | <1% | 26 | 26 | $5K | |
| 0001A | <1% | 19 | 19 | $3K | |
| 0013A | <1% | 17 | 17 | $3K | |
| 0004A | <1% | 12 | 12 | $2K |
8 more codes
| H0038 | Self-help/peer services, per 15 minutes | <1% | 12 | $2K |
| G0467 | Community health center visit, returning patient | <1% | 50 | $816.49 |
| 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% | 26 | $735.37 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 27 | $369.82 |
| 80305 | <1% | 61 | $334.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $209.44 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $91.64 |
| 3008F | 0% | 229 | $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.
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 | 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.