Medicaid Provider Spending

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

CENTRO SAN VICENTE

NPI: 1831267079 · EL PASO, TX 79915 · Federally Qualified Health Center (FQHC) · NPI assigned 12/04/2006

$3.43M
Total Medicaid Paid
73,740
Total Claims
63,582
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUNA, JOSE (CEO)
NPI Enumeration Date12/04/2006

Related Entities

Other providers sharing the same authorized official: LUNA, JOSE

ProviderCityStateTotal Paid
JOSE HUMBERTO LUNA LA FERIA TX $1.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $13K
2020 3,085 $153K
2021 17,812 $863K
2022 17,180 $879K
2023 19,688 $869K
2024 15,863 $656K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 19,442 13,764 $3.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,133 10,453 $190K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,176 1,157 $50K
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 1,236 1,128 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,265 1,191 $27K
CP002 2,755 2,477 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 591 587 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,036 991 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 631 566 $8K
90756 537 526 $4K
0072A 90 88 $3K
0071A 100 97 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 240 238 $2K
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 57 54 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,465 1,428 $944.00
Q3014 Telehealth originating site facility fee 498 394 $777.10
81001 1,080 867 $695.19
80053 Comprehensive metabolic panel 3,513 3,386 $613.33
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,002 2,853 $526.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 14 $488.63
83036 Hemoglobin; glycosylated (A1C) 1,975 1,916 $357.96
80061 Lipid panel 2,877 2,808 $212.70
90674 571 565 $200.00
0012A 70 70 $141.95
87081 889 863 $98.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,518 2,470 $80.45
0013A 39 39 $80.00
84443 Thyroid stimulating hormone (TSH) 238 229 $50.01
87086 Culture, bacterial; quantitative colony count, urine 17 13 $40.25
0011A 61 61 $33.88
99441 120 85 $22.14
82570 204 203 $18.00
90656 121 119 $17.47
90472 Immunization administration, each additional vaccine (list separately) 150 128 $7.84
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 37 37 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 597 576 $0.00
36415 Collection of venous blood by venipuncture 5,468 4,987 $0.00
3008F 5,722 4,990 $0.00
3080F 51 51 $0.00
1126F 52 50 $0.00
1111F 231 217 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 67 66 $0.00
91307 163 150 $0.00
91301 142 142 $0.00
3074F 71 70 $0.00
3075F 49 49 $0.00
3079F 54 54 $0.00
1159F 43 43 $0.00
90649 14 14 $0.00
99442 38 29 $0.00
91300 29 29 $0.00
3078F 66 65 $0.00
91322 14 14 $0.00
90734 13 13 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $0.00
3077F 52 52 $0.00
1160F 43 43 $0.00