Clinic
El Centro Family Health
El Centro Family Health was paid $11.55M by Medicaid between Jan 2018 and Oct 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoEL CENTRO FAMILY HEALTH
ESPANOLA, NM 87532
ESPANOLA, NM 87532
33aNPI1780689034assigned 06/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.55M
24GClaims120,131
24DCodes billed84
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#9 of 80
Median peer was paid$1.11M
This provider vs. median10×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PEASE, LORE controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 7,181 | $543K |
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 | 59% | 49,934 | 40,223 | $6.83M |
| 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 | 13% | 10,850 | 9,503 | $1.52M |
| D0999 | Unspecified diagnostic procedure, by report | 5.9% | 4,723 | 3,957 | $681K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 3,428 | 2,055 | $468K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 3,620 | 3,252 | $419K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 1,619 | 1,378 | $180K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.5% | 9,222 | 7,017 | $178K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.3% | 1,083 | 566 | $153K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 943 | 934 | $147K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 1,339 | 871 | $145K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 750 | 748 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 562 | 562 | $91K |
72 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 596 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 534 | $85K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 443 | $74K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 564 | $70K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 399 | $56K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 204 | $31K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 145 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 158 | $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 | <1% | 829 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 75 | $12K |
| 95117 | <1% | 79 | $12K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 25 | $11K |
| 99384 | <1% | 57 | $10K | |
| 90863 | <1% | 93 | $9K | |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 62 | $9K |
| 0013A | <1% | 50 | $8K | |
| 99383 | <1% | 37 | $6K | |
| 0002A | <1% | 46 | $6K | |
| 80305 | <1% | 1,070 | $6K | |
| H0049 | Alcohol and/or drug screening | <1% | 97 | $6K |
| 0012A | <1% | 31 | $5K | |
| 0001A | <1% | 47 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $4K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 36 | $4K |
| 0004A | <1% | 17 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 401 | $3K |
| 99442 | <1% | 28 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 45 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 947 | $3K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 14 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 6,619 | $2K |
| 90688 | <1% | 1,039 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 24 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 111 | $1K |
| 0094A | <1% | 13 | $941.98 | |
| 81002 | <1% | 2,335 | $898.07 | |
| 99000 | <1% | 118 | $741.72 | |
| 90715 | <1% | 359 | $729.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 922 | $667.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,300 | $648.73 |
| D1110 | Prophylaxis - adult | <1% | 27 | $573.64 |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,332 | $545.64 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 108 | $390.55 |
| 20553 | <1% | 37 | $383.70 | |
| 81025 | <1% | 1,102 | $333.02 | |
| 90670 | <1% | 398 | $315.26 | |
| 93000 | <1% | 321 | $221.14 | |
| 85610 | <1% | 542 | $219.67 | |
| 1220F | <1% | 297 | $201.78 | |
| 3008F | <1% | 1,610 | $201.78 | |
| 1111F | <1% | 14 | $201.78 | |
| 0003A | <1% | 12 | $120.00 | |
| 11981 | <1% | 12 | $106.60 | |
| 90746 | <1% | 65 | $92.34 | |
| 86580 | <1% | 133 | $60.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 192 | $49.80 |
| 85018 | <1% | 133 | $39.53 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 92 | $38.08 |
| G0008 | Administration of influenza virus vaccine | <1% | 86 | $30.52 |
| 90734 | <1% | 116 | $13.89 | |
| 90732 | <1% | 30 | $4.69 | |
| 90633 | <1% | 155 | $1.00 | |
| 90723 | <1% | 41 | $1.00 | |
| 90686 | <1% | 367 | $0.31 | |
| 90651 | <1% | 17 | $0.02 | |
| 90648 | 0% | 51 | $0.00 | |
| 4001F | 0% | 259 | $0.00 | |
| 82948 | 0% | 84 | $0.00 | |
| 3351F | 0% | 279 | $0.00 | |
| 3074F | 0% | 29 | $0.00 | |
| 4010F | 0% | 104 | $0.00 | |
| 0005A | 0% | 15 | $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 officialPEASE, LORE (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.