Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ESPANOLA › EL CENTRO FAMILY HEALTH

EL CENTRO FAMILY HEALTH

NPI: 1780689034 · ESPANOLA, NM 87532 · Federally Qualified Health Center (FQHC) · NPI assigned 06/14/2005

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

Authorized official PEASE, LORE controls 20+ related entities in our dataset. Read more

$11.55M
Total Medicaid Paid
120,131
Total Claims
99,899
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEASE, LORE (CEO)
NPI Enumeration Date06/14/2005

Related Entities

Other providers sharing the same authorized official: PEASE, LORE

ProviderCityStateTotal Paid
EL CENTRO FAMILY HEALTH LAS VEGAS NM $7.32M
EL CENTRO FAMILY HEALTH ESPANOLA NM $3.17M
EL CENTRO FAMILY HEALTH TAOS NM $2.29M
EL CENTRO FAMILY HEALTH PENASCO NM $1.43M
EL CENTRO FAMILY HEALTH SPRINGER NM $1.11M
EL CENTRO FAMILY HEALTH EMBUDO NM $1.11M
EL CENTRO FAMILY HEALTH RIBERA NM $892K
EL CENTRO FAMILY HEALTH ESPANOLA NM $890K
EL CENTRO FAMILY HEALTH ANTON CHICO NM $550K
EL CENTRO FAMILY HEALTH LAS VEGAS NM $434K
EL CENTRO FAMILY HEALTH ESPANOLA NM $351K
EL CENTRO FAMILY HEALTH COYOTE NM $300K
EL CENTRO FAMILY HEALTH LAS VEGAS NM $238K
EL CENTRO FAMILY HEALTH LAS VEGAS NM $186K
EL CENTRO FAMILY HEALTH TRUCHAS NM $163K
EL CENTRO FAMILY HEALTH ROY NM $150K
EL CENTRO FAMILY HEALTH WAGON MOUND NM $136K
EL CENTRO FAMILY HEALTH ESPANOLA NM $73K
EL CENTRO FAMILY HEALTH ESPANOLA NM $59K
EL CENTRO FAMILY HEALTH PENASCO NM $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53,677 $5.41M
2019 44,047 $4.03M
2020 9,031 $881K
2021 1,980 $213K
2022 2,833 $368K
2023 1,382 $102K
2024 7,181 $543K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,934 40,223 $6.83M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,850 9,503 $1.52M
D0999 Unspecified diagnostic procedure, by report 4,723 3,957 $681K
90837 Psychotherapy, 53 minutes with patient 3,428 2,055 $468K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,620 3,252 $419K
90832 Psychotherapy, 30 minutes with patient 1,619 1,378 $180K
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 9,222 7,017 $178K
90853 Group psychotherapy (other than of a multiple-family group) 1,083 566 $153K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 943 934 $147K
90834 Psychotherapy, 45 minutes with patient 1,339 871 $145K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 750 748 $126K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 562 562 $91K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 596 589 $89K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 534 519 $85K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 443 443 $74K
90791 Psychiatric diagnostic evaluation 564 543 $70K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 399 396 $56K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 204 202 $31K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 145 145 $23K
90792 Psychiatric diagnostic evaluation with medical services 158 156 $22K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 829 472 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 75 75 $12K
95117 79 45 $12K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 25 25 $11K
99384 57 57 $10K
90863 93 86 $9K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 62 56 $9K
0013A 50 50 $8K
99383 37 37 $6K
0002A 46 45 $6K
80305 1,070 958 $6K
H0049 Alcohol and/or drug screening 97 97 $6K
0012A 31 31 $5K
0001A 47 47 $5K
99215 Prolong outpt/office vis 29 29 $4K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 36 36 $4K
0004A 17 17 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 401 365 $3K
99442 28 21 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 45 45 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 947 934 $3K
H0038 Self-help/peer services, per 15 minutes 14 13 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,619 5,256 $2K
90688 1,039 1,032 $1K
Q3014 Telehealth originating site facility fee 24 24 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 111 108 $1K
0094A 13 12 $941.98
81002 2,335 1,997 $898.07
99000 118 116 $741.72
90715 359 346 $729.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 922 906 $667.58
83036 Hemoglobin; glycosylated (A1C) 1,300 1,282 $648.73
D1110 Prophylaxis - adult 27 27 $573.64
36415 Collection of venous blood by venipuncture 5,332 5,068 $545.64
J1050 Injection, medroxyprogesterone acetate, 1 mg 108 106 $390.55
20553 37 29 $383.70
81025 1,102 1,053 $333.02
90670 398 398 $315.26
93000 321 318 $221.14
85610 542 395 $219.67
1220F 297 287 $201.78
3008F 1,610 1,415 $201.78
1111F 14 13 $201.78
0003A 12 12 $120.00
11981 12 12 $106.60
90746 65 65 $92.34
86580 133 130 $60.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 192 144 $49.80
85018 133 122 $39.53
J1885 Injection, ketorolac tromethamine, per 15 mg 92 80 $38.08
G0008 Administration of influenza virus vaccine 86 84 $30.52
90734 116 116 $13.89
90732 30 15 $4.69
90633 155 155 $1.00
90723 41 41 $1.00
90686 367 367 $0.31
90651 17 17 $0.02
90648 51 51 $0.00
4001F 259 211 $0.00
82948 84 76 $0.00
3351F 279 270 $0.00
3074F 29 29 $0.00
4010F 104 99 $0.00
0005A 15 15 $0.00