Clinic
Thoreau Clinic
Thoreau Clinic was paid $827K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoTHOREAU CLINIC
THOREAU, NM 87323
THOREAU, NM 87323
33aNPI1679516702assigned 06/14/2006
33bProvider typeClinic/Center
28Total paid$827K
24GClaims5,039
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in New Mexico
Rank by total paid#27 of 52
Median peer was paid$827K
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
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 | 893 | $59K | |
| 2019 | 923 | $80K | |
| 2020 | 691 | $97K | |
| 2021 | 1,121 | $262K | |
| 2022 | 922 | $256K | |
| 2023 | 278 | $39K | |
| 2024incomplete | 211 | $34K |
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 | 41% | 3,801 | 3,130 | $339K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 24% | 363 | 343 | $198K |
| 0002A | 10% | 170 | 169 | $86K | |
| 0001A | 8.7% | 148 | 148 | $72K | |
| Q3014 | Telehealth originating site facility fee | 6.1% | 118 | 107 | $50K |
| 0004A | 4.3% | 66 | 66 | $35K | |
| 0064A | 2.1% | 32 | 31 | $18K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 22 | 22 | $13K |
| 0003A | <1% | 12 | 12 | $6K | |
| 0054A | <1% | 15 | 15 | $4K | |
| 0124A | <1% | 12 | 12 | $3K | |
| 99442 | <1% | 102 | 97 | $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.
From NPPES
Who's on the registration
Authorized officialROANHORSE, ANSLEM (CEO)
Parent organizationDHHS PHS NAIHS CROWNPOINT HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| DHHS PHS Naihs Crownpoint Hospital | Crownpoint, NM | $35.30M |
| Pueblo Pintado Clinic | Cuba, NM | $772K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.