NPI: 1740286863 · LAS CRUCES, NM 88005 · Federally Qualified Health Center (FQHC) · NPI assigned 06/23/2005
Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
| Authorized Official | MEDINA, VIRGIL (CHEIF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 06/23/2005 |
Other providers sharing the same authorized official: MEDINA, VIRGIL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,741 | $28K |
| 2019 | 265 | $33K |
| 2020 | 160 | $1K |
| 2022 | 325 | $191.17 |
| 2023 | 78 | $564.21 |
| 2024 | 55 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 411 | 117 | $57K |
| 99051 | 100 | 97 | $3K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,360 | 1,229 | $3K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 267 | 255 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 369 | 328 | $234.26 |
| 90834 | Psychotherapy, 45 minutes with patient | 29 | 24 | $163.77 |
| 90837 | Psychotherapy, 53 minutes with patient | 62 | 44 | $80.09 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 75 | 70 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 49 | 44 | $0.00 |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 76 | 27 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 237 | 233 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 50 | 25 | $0.00 |
| 90670 | 44 | 43 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 65 | 65 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 56 | 54 | $0.00 |
| D1110 | Prophylaxis - adult | 17 | 14 | $0.00 |
| 90682 | 37 | 37 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13 | 13 | $0.00 |
| 90461 | 98 | 96 | $0.00 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 47 | 45 | $0.00 |
| 81025 | 70 | 68 | $0.00 | |
| S5145 | Foster care, therapeutic, child; per diem | 66 | 24 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 14 | 14 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 63 | 59 | $0.00 |
| 90686 | 325 | 322 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 270 | 266 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 65 | 65 | $0.00 |
| 87430 | 16 | 15 | $0.00 | |
| 90688 | 18 | 18 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 24 | 23 | $0.00 |
| 90723 | 13 | 12 | $0.00 | |
| 85018 | 84 | 84 | $0.00 | |
| 81000 | 134 | 105 | $0.00 |