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

Lancer Health Group, LLC

Lancer Health Group, LLC was paid $3.80M by Medicaid between Jun 2020 and Dec 2024, across 14 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 63% of everything it billed.

33Billing provider infoLANCER HEALTH GROUP, LLC
RATON, NM 87740
33aNPI1700345436assigned 03/12/2019
28Total paid$3.80M
24GClaims20,104
24DCodes billed14
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New Mexico

Rank by total paid#3 of 15
Median peer was paid$718K
This provider vs. median5.3×

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

$0$100K$200K2018201920202021202220232024
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
2020580$65K
20211,928$236K
20225,136$687K
20236,434$1.44M
2024incomplete6,026$1.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 63% 7,869 1,665 $2.41M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 27% 7,971 2,751 $1.03M
90846 Family psychotherapy without the patient present, 50 minutes 2.9% 1,059 483 $109K
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 2.2% 892 705 $84K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.5% 628 310 $57K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1.3% 802 634 $51K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 181 161 $25K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 160 102 $12K
90853 Group psychotherapy (other than of a multiple-family group) <1% 349 117 $11K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 101 77 $6K
90847 Family psychotherapy with the patient present, 50 minutes <1% 39 22 $4K
90836 <1% 28 25 $3K
2 more codes
90839 <1% 12 $2K
90791 Psychiatric diagnostic evaluation <1% 13 $1K

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 officialHEFKER, MARCIA (OWNER/PRACTITIONER)