Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

LA Clinica De Familia, Incorporated

LA Clinica De Familia, Incorporated was paid $557K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoLA CLINICA DE FAMILIA, INCORPORATED
ANTHONY, NM 88021
33aNPI1689034662assigned 03/03/2016
28Total paid$557K
24GClaims3,733
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Mexico

Rank by total paid#50 of 80
Median peer was paid$1.11M
This provider vs. median0.5×

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.

Entity ProliferationAuthorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
2018328$51K
2019517$73K
2020161$19K
2021154$26K
2022561$91K
2023870$116K
2024incomplete1,142$181K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 1,642 1,402 $283K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 31% 918 621 $175K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 332 295 $63K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.3% 65 65 $13K
90853 Group psychotherapy (other than of a multiple-family group) 1.5% 47 39 $9K
81025 <1% 496 436 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 16 16 $3K
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% 15 15 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 13 $2K
96160 <1% 189 188 $2K

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 officialMEDINA, VIRGIL (CEO)
Same official

Other billing entities under MEDINA, VIRGIL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.