Medicaid Provider Spending

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

LA CLINICA DE FAMILIA, INCORPORATED

NPI: 1730152281 · SUNLAND PARK, NM 88063 · Federally Qualified Health Center (FQHC) · NPI assigned 02/07/2006

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

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

$8.57M
Total Medicaid Paid
68,822
Total Claims
56,295
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/07/2006

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 ANTHONY NM $8.08M
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 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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