Dental
LA Familia Medical Center
LA Familia Medical Center was paid $4.70M by Medicaid between Jan 2018 and Nov 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoLA FAMILIA MEDICAL CENTER
SANTA FE, NM 87507
SANTA FE, NM 87507
33aNPI1710049218assigned 12/14/2006
33bProvider typeDentist
28Total paid$4.70M
24GClaims64,571
24DCodes billed79
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New Mexico
Rank by total paid#8 of 179
Median peer was paid$47K
This provider vs. median100×
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 | 10,858 | $645K | |
| 2019 | 8,083 | $513K | |
| 2020 | 8,477 | $610K | |
| 2021 | 11,075 | $795K | |
| 2022 | 10,110 | $729K | |
| 2023 | 9,525 | $810K | |
| 2024incomplete | 6,443 | $595K |
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 | 45% | 13,952 | 12,200 | $2.10M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 3,310 | 2,900 | $570K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 2,282 | 2,276 | $394K |
| 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 | 7.3% | 2,400 | 2,281 | $345K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 1,575 | 1,569 | $276K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 1,276 | 1,265 | $226K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 1,320 | 1,267 | $203K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 647 | 631 | $102K |
| 98967 | 1.7% | 478 | 440 | $79K | |
| 98966 | 1.5% | 421 | 400 | $72K | |
| 99442 | 1.2% | 334 | 319 | $58K | |
| 99460 | <1% | 277 | 277 | $43K |
67 more codes
| 0012A | <1% | 231 | $38K | |
| G0467 | Community health center visit, returning patient | <1% | 1,920 | $26K |
| 99441 | <1% | 147 | $26K | |
| 0071A | <1% | 143 | $22K | |
| 0072A | <1% | 126 | $21K | |
| 0011A | <1% | 127 | $18K | |
| 99462 | <1% | 125 | $18K | |
| 0064A | <1% | 119 | $10K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,386 | $9K |
| 0134A | <1% | 98 | $7K | |
| 0003A | <1% | 67 | $7K | |
| 0124A | <1% | 77 | $6K | |
| 0001A | <1% | 46 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $5K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 46 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 20 | $3K |
| 0013A | <1% | 16 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,572 | $360.47 |
| 99000 | <1% | 5,341 | $229.20 | |
| 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 | <1% | 12 | $201.78 |
| 99173 | <1% | 82 | $194.39 | |
| 91301 | <1% | 455 | $177.14 | |
| 80305 | <1% | 1,298 | $175.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,314 | $157.63 |
| 81003 | <1% | 839 | $38.89 | |
| 91322 | <1% | 27 | $35.40 | |
| 90461 | <1% | 2,729 | $33.27 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,606 | $17.91 |
| 90686 | <1% | 1,484 | $16.70 | |
| 85018 | <1% | 1,139 | $12.33 | |
| 90670 | <1% | 610 | $11.66 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $10.84 |
| 90662 | <1% | 15 | $7.28 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,658 | $4.66 |
| 90715 | <1% | 152 | $4.22 | |
| 90681 | 0% | 111 | $0.00 | |
| 81025 | 0% | 199 | $0.00 | |
| 90633 | 0% | 721 | $0.00 | |
| 91312 | 0% | 32 | $0.00 | |
| 90672 | 0% | 31 | $0.00 | |
| 90648 | 0% | 719 | $0.00 | |
| 99188 | 0% | 226 | $0.00 | |
| 90473 | 0% | 66 | $0.00 | |
| 90734 | 0% | 101 | $0.00 | |
| 91313 | 0% | 103 | $0.00 | |
| 90655 | 0% | 32 | $0.00 | |
| 90649 | 0% | 74 | $0.00 | |
| 91300 | 0% | 411 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 98 | $0.00 |
| 83655 | 0% | 53 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90480 | 0% | 46 | $0.00 | |
| 90680 | 0% | 911 | $0.00 | |
| 90723 | 0% | 533 | $0.00 | |
| 90716 | 0% | 68 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| 90651 | 0% | 216 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 274 | $0.00 |
| 91306 | 0% | 147 | $0.00 | |
| 91307 | 0% | 641 | $0.00 | |
| 90697 | 0% | 101 | $0.00 | |
| 36416 | 0% | 53 | $0.00 | |
| 86803 | 0% | 41 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| 81005 | 0% | 88 | $0.00 | |
| 90688 | 0% | 17 | $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 officialVAN PELT, BRANDON (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| LA Familia Medical Center | Santa Fe, NM | $9.06M |
| LA Familia Medical Center | Santa Fe, NM | $551K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.