Dental
LA Clinica De Familia, Incorporated
LA Clinica De Familia, Incorporated was paid $8.08M by Medicaid between Jan 2018 and Nov 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoLA CLINICA DE FAMILIA, INCORPORATED
ANTHONY, NM 88021
ANTHONY, NM 88021
33aNPI1699748921assigned 02/08/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$8.08M
24GClaims86,487
24DCodes billed72
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#4 of 202
Median peer was paid$44K
This provider vs. median185×
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
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 | 13,899 | $1.11M | |
| 2019 | 13,532 | $1.22M | |
| 2020 | 12,076 | $1.12M | |
| 2021 | 10,735 | $1.03M | |
| 2022 | 14,716 | $1.40M | |
| 2023 | 12,648 | $1.25M | |
| 2024incomplete | 8,881 | $946K |
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 | 44% | 27,574 | 23,652 | $3.56M |
| D0999 | Unspecified diagnostic procedure, by report | 17% | 6,831 | 5,579 | $1.36M |
| 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 | 7.0% | 4,836 | 4,530 | $567K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 3,098 | 2,622 | $394K |
| 99442 | 4.6% | 2,239 | 2,107 | $372K | |
| 99441 | 3.8% | 1,835 | 1,743 | $303K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.6% | 1,691 | 1,683 | $291K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 2.9% | 2,750 | 2,562 | $233K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 805 | 629 | $137K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 795 | 789 | $137K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.6% | 10,209 | 7,492 | $132K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 533 | 462 | $101K |
60 more codes
| 99443 | <1% | 480 | $75K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,146 | $67K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,309 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 247 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 234 | $40K |
| 0064A | <1% | 211 | $37K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 161 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,133 | $18K |
| 0011A | <1% | 92 | $16K | |
| 0134A | <1% | 66 | $12K | |
| 0003A | <1% | 58 | $10K | |
| 81000 | <1% | 1,808 | $9K | |
| 85018 | <1% | 2,102 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 841 | $6K |
| 90715 | <1% | 443 | $6K | |
| 0004A | <1% | 33 | $5K | |
| 90686 | <1% | 1,331 | $5K | |
| 3352F | <1% | 90 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 39 | $4K |
| 99051 | <1% | 679 | $4K | |
| 88142 | <1% | 129 | $2K | |
| 90674 | <1% | 359 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $2K |
| 87430 | <1% | 143 | $1K | |
| 90682 | <1% | 107 | $1K | |
| 90461 | <1% | 139 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 132 | $1K |
| 1000F | <1% | 313 | $1K | |
| 1036F | <1% | 232 | $818.94 | |
| 90662 | <1% | 337 | $691.23 | |
| G0008 | Administration of influenza virus vaccine | <1% | 493 | $512.88 |
| 90677 | <1% | 15 | $368.10 | |
| 90688 | <1% | 50 | $304.86 | |
| 90656 | <1% | 65 | $297.50 | |
| 81025 | <1% | 30 | $186.12 | |
| 3044F | <1% | 94 | $163.78 | |
| 99188 | <1% | 13 | $129.11 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 43 | $29.62 |
| 90670 | <1% | 14 | $15.60 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | <1% | 25 | $2.23 |
| 91301 | <1% | 131 | $0.40 | |
| 91300 | <1% | 147 | $0.02 | |
| 3078F | <1% | 220 | $0.02 | |
| 3074F | <1% | 214 | $0.02 | |
| 3079F | <1% | 27 | $0.01 | |
| 3048F | <1% | 146 | $0.01 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 250 | $0.00 |
| 2022F | 0% | 106 | $0.00 | |
| 91313 | 0% | 65 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 25 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 13 | $0.00 |
| 3045F | 0% | 41 | $0.00 | |
| 3061F | 0% | 129 | $0.00 | |
| 91306 | 0% | 206 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 38 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 15 | $0.00 |
| 91307 | 0% | 16 | $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 officialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $18.22M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $17.28M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $15.67M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $9.35M |
| LA Clinica De Familia, Incorporated | Sunland Park, NM | $8.57M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $7.13M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $7.03M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $4.00M |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $3.19M |
| LA Clinica De Familia, Incorporated | La Mesa, NM | $2.67M |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $1.06M |
| LA Clinica De Familia, Incorporated | Santa Teresa, NM | $895K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $557K |
| LA Clinica De Familia, Incorporated | Chaparral, NM | $395K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $297K |
| LA Clinica De Familia, Incorporated | Mesilla, NM | $111K |
| LA Clinica De Familia, Incorporated | Las Cruces, NM | $65K |
| LA Clinica De Familia, Incorporated | Anthony, NM | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.