Clinic
El Centro Family Health
El Centro Family Health was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 44% of everything it billed.
33Billing provider infoEL CENTRO FAMILY HEALTH
PENASCO, NM 87553
PENASCO, NM 87553
33aNPI1790940716assigned 07/21/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.43M
24GClaims11,601
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#37 of 80
Median peer was paid$1.11M
This provider vs. median1.3×
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 | 1,029 | $20K | |
| 2019 | 918 | $20K | |
| 2020 | 2,473 | $235K | |
| 2021 | 2,396 | $360K | |
| 2022 | 1,817 | $285K | |
| 2023 | 1,762 | $266K | |
| 2024incomplete | 1,206 | $249K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 44% | 2,966 | 2,804 | $629K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,930 | 3,211 | $440K |
| 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 | 17% | 1,872 | 1,603 | $247K |
| 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 | 2.7% | 1,715 | 1,238 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 259 | 173 | $36K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 348 | 211 | $13K |
| 99441 | <1% | 59 | 52 | $8K | |
| 99442 | <1% | 51 | 48 | $8K | |
| 0013A | <1% | 34 | 34 | $6K | |
| 0011A | <1% | 17 | 17 | $3K | |
| 0012A | <1% | 16 | 16 | $3K | |
| 80305 | <1% | 218 | 185 | $2K |
4 more codes
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 40 | $774.02 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 16 | $17.66 |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $11.04 |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $9.05 |
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 | Espanola, NM | $11.55M |
| 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 | 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.