Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LA CLINICA DE FAMILIA, INCORPORATED

NPI: 1699748921 · ANTHONY, NM 88021 · General Practice Dentistry · NPI assigned 02/08/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more

$8.08M
Total Medicaid Paid
86,487
Total Claims
75,797
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/08/2006

Related Entities

Other providers sharing the same authorized official: MEDINA, VIRGIL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,881 $946K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,574 23,652 $3.56M
D0999 Unspecified diagnostic procedure, by report 6,831 5,579 $1.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,836 4,530 $567K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,098 2,622 $394K
99442 2,239 2,107 $372K
99441 1,835 1,743 $303K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 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 2,750 2,562 $233K
90834 Psychotherapy, 45 minutes with patient 805 629 $137K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 795 789 $137K
G0467 Federally 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 10,209 7,492 $132K
90832 Psychotherapy, 30 minutes with patient 533 462 $101K
99443 480 458 $75K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,146 899 $67K
83036 Hemoglobin; glycosylated (A1C) 6,309 5,899 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 247 247 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 234 233 $40K
0064A 211 211 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 216 214 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 161 160 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,133 2,091 $18K
0011A 92 92 $16K
0134A 66 66 $12K
0003A 58 58 $10K
81000 1,808 1,518 $9K
85018 2,102 2,058 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 841 834 $6K
90715 443 423 $6K
0004A 33 33 $5K
90686 1,331 1,314 $5K
3352F 90 90 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 25 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 39 38 $4K
99051 679 637 $4K
88142 129 129 $2K
90674 359 356 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $2K
87430 143 141 $1K
90682 107 107 $1K
90461 139 137 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 132 131 $1K
1000F 313 310 $1K
1036F 232 230 $818.94
90662 337 280 $691.23
G0008 Administration of influenza virus vaccine 493 403 $512.88
90677 15 12 $368.10
90688 50 48 $304.86
90656 65 65 $297.50
81025 30 28 $186.12
3044F 94 94 $163.78
99188 13 13 $129.11
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 43 35 $29.62
90670 14 12 $15.60
Q2039 Influenza virus vaccine, not otherwise specified 25 16 $2.23
91301 131 131 $0.40
91300 147 143 $0.02
3078F 220 220 $0.02
3074F 214 214 $0.02
3079F 27 27 $0.01
3048F 146 146 $0.01
D0220 Intraoral - periapical first radiographic image 250 243 $0.00
2022F 106 106 $0.00
91313 65 65 $0.00
D0274 Bitewings - four radiographic images 25 25 $0.00
D1110 Prophylaxis - adult 13 13 $0.00
3045F 41 41 $0.00
3061F 129 129 $0.00
91306 206 206 $0.00
D0230 Intraoral - periapical each additional radiographic image 38 38 $0.00
D0120 Periodic oral evaluation - established patient 12 12 $0.00
D0150 Comprehensive oral evaluation - new or established patient 15 15 $0.00
91307 16 16 $0.00