Clinic
De Baca Family Practice Clinic
De Baca Family Practice Clinic was paid $181K by Medicaid between Jun 2018 and Sep 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoDE BACA FAMILY PRACTICE CLINIC
FORT SUMNER, NM 88119
FORT SUMNER, NM 88119
33aNPI1699082644assigned 09/10/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$181K
24GClaims1,716
24DCodes billed7
24AFirst – last monthJun 2018 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#63 of 80
Median peer was paid$1.11M
This provider vs. median0.2×
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 | 353 | $38K | |
| 2019 | 743 | $80K | |
| 2020 | 380 | $42K | |
| 2021 | 15 | $2K | |
| 2022 | 28 | $4K | |
| 2023 | 12 | $2K | |
| 2024incomplete | 185 | $13K |
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 | 43% | 854 | 795 | $78K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 37% | 562 | 547 | $66K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 92 | 83 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.1% | 103 | 101 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 51 | 51 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 14 | 14 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | 39 | $493.73 |
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 officialWALRAVEN, LISA (CEO)
Parent organizationDE BACA FAMILY PRACTICE CLINIC
| Provider | Location | Paid |
|---|---|---|
| De Baca Family Practice Clinic | Fort Sumner, NM | $2.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.