NPI: 1730152281 · SUNLAND PARK, NM 88063 · Federally Qualified Health Center (FQHC) · NPI assigned 02/07/2006
Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
| Authorized Official | MEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 02/07/2006 |
Other providers sharing the same authorized official: MEDINA, VIRGIL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,562 | $832K |
| 2019 | 9,422 | $902K |
| 2020 | 7,079 | $772K |
| 2021 | 10,132 | $1.20M |
| 2022 | 11,988 | $1.62M |
| 2023 | 11,630 | $1.70M |
| 2024 | 10,009 | $1.54M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,245 | 10,914 | $1.58M |
| D0999 | Unspecified diagnostic procedure, by report | 7,865 | 6,559 | $1.56M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,444 | 7,686 | $1.16M |
| H2015 | Comprehensive community support services, per 15 minutes | 5,510 | 1,193 | $1.04M |
| 90834 | Psychotherapy, 45 minutes with patient | 4,147 | 3,400 | $760K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3,294 | 2,999 | $458K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,970 | 1,734 | $364K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,960 | 1,517 | $363K |
| 99442 | 1,808 | 1,738 | $303K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1,380 | 549 | $265K |
| 99441 | 1,069 | 1,036 | $153K | |
| 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 | 1,269 | 1,168 | $107K |
| 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 | 5,977 | 4,475 | $75K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 368 | 368 | $70K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 417 | 410 | $69K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 785 | 633 | $42K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 186 | 176 | $31K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2,333 | 2,144 | $27K |
| 0012A | 93 | 93 | $16K | |
| 90791 | Psychiatric diagnostic evaluation | 80 | 80 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,082 | 1,058 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 67 | 67 | $11K |
| 0064A | 61 | 61 | $11K | |
| 0134A | 56 | 56 | $10K | |
| D1110 | Prophylaxis - adult | 374 | 374 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 58 | 58 | $9K |
| 99443 | 51 | 48 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 238 | 224 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 397 | 385 | $4K |
| 3352F | 57 | 57 | $4K | |
| 87430 | 336 | 322 | $4K | |
| Q3014 | Telehealth originating site facility fee | 18 | 16 | $3K |
| D0274 | Bitewings - four radiographic images | 442 | 442 | $3K |
| 90686 | 448 | 440 | $3K | |
| 0003A | 12 | 12 | $2K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 13 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 20 | 18 | $2K |
| 99215 | Prolong outpt/office vis | 12 | 12 | $2K |
| 90715 | 157 | 150 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 211 | 209 | $2K |
| 81000 | 336 | 321 | $2K | |
| 90674 | 154 | 153 | $1K | |
| 90677 | 28 | 26 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | 513 | 513 | $1K |
| 90682 | 105 | 102 | $1K | |
| D0330 | Panoramic radiographic image | 87 | 87 | $664.24 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 50 | 50 | $633.49 |
| 85018 | 132 | 131 | $494.62 | |
| G0008 | Administration of influenza virus vaccine | 136 | 107 | $455.87 |
| 90662 | 97 | 80 | $183.39 | |
| 90688 | 18 | 18 | $182.42 | |
| 90656 | 30 | 30 | $20.17 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 17 | 12 | $10.04 |
| 91301 | 105 | 105 | $0.48 | |
| 3008F | 94 | 93 | $0.07 | |
| 1000F | 65 | 65 | $0.03 | |
| 3074F | 25 | 25 | $0.02 | |
| 3045F | 40 | 40 | $0.02 | |
| 91306 | 60 | 60 | $0.01 | |
| 3078F | 13 | 13 | $0.01 | |
| D0230 | Intraoral - periapical each additional radiographic image | 454 | 439 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 823 | 809 | $0.00 |
| 91300 | 40 | 38 | $0.00 | |
| 91313 | 56 | 56 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 21 | 16 | $0.00 |