Clinic
Southwest Care Center
Southwest Care Center was paid $6.60M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHWEST CARE CENTER
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1871602698assigned 08/29/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.60M
24GClaims59,122
24DCodes billed62
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#21 of 80
Median peer was paid$1.11M
This provider vs. median5.9×
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.
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 | 8,757 | $309K | |
| 2019 | 8,079 | $598K | |
| 2020 | 7,324 | $846K | |
| 2021 | 8,939 | $1.12M | |
| 2022 | 10,161 | $1.36M | |
| 2023 | 9,488 | $1.40M | |
| 2024incomplete | 6,374 | $970K |
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 | 42% | 21,214 | 18,771 | $2.80M |
| 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 | 31% | 14,788 | 13,449 | $2.02M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 942 | 939 | $170K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 1,033 | 1,019 | $160K |
| 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 | 2.4% | 6,521 | 5,612 | $159K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 1,115 | 648 | $148K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 748 | 748 | $133K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 814 | 457 | $121K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.7% | 981 | 741 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 756 | 720 | $111K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 516 | 511 | $90K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 857 | 773 | $74K |
50 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 466 | $71K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 247 | $39K |
| 92551 | <1% | 378 | $39K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 196 | $35K |
| 0012A | <1% | 195 | $34K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 200 | $31K |
| 0011A | <1% | 184 | $30K | |
| 0064A | <1% | 150 | $24K | |
| 0134A | <1% | 103 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 93 | $15K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 82 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 74 | $12K |
| 0031A | <1% | 68 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 116 | $11K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 61 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 536 | $10K |
| G0466 | Community health center visit, new patient | <1% | 265 | $10K |
| 0072A | <1% | 53 | $9K | |
| 90480 | <1% | 175 | $9K | |
| 99442 | <1% | 53 | $9K | |
| 99443 | <1% | 44 | $8K | |
| 3008F | <1% | 548 | $7K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 549 | $6K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 66 | $5K |
| 0071A | <1% | 31 | $5K | |
| 96127 | <1% | 1,022 | $4K | |
| S9999 | Sales tax | <1% | 437 | $3K |
| 80305 | <1% | 169 | $3K | |
| 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% | 49 | $2K |
| 91322 | <1% | 12 | $2K | |
| 3079F | <1% | 16 | $2K | |
| 90461 | <1% | 37 | $2K | |
| 90686 | <1% | 287 | $2K | |
| 1036F | <1% | 259 | $1K | |
| 1160F | <1% | 449 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 88 | $778.84 |
| 3074F | <1% | 233 | $619.93 | |
| 1126F | <1% | 91 | $538.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $409.78 |
| 90715 | <1% | 17 | $226.84 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $140.56 |
| 99173 | <1% | 123 | $135.65 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 35 | $118.03 |
| 36415 | Collection of venous blood by venipuncture | <1% | 41 | $87.42 |
| 81025 | <1% | 14 | $49.32 | |
| 81002 | <1% | 18 | $3.67 | |
| 90734 | <1% | 37 | $0.02 | |
| 3078F | 0% | 189 | $0.00 | |
| 3725F | 0% | 106 | $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 officialADAMS, MICHAEL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Haddon Heights School District | Haddon Heights, NJ | $278K |
| Southwest Care Center Jefferson Albuquerque | Albuquerque, NM | $36K |
| Goodwill Care Services, LLC Dba Comforcare | Piedmont, SC | $2K |
| The Counseling Services of Michael C. Adams & Associates, PSC | Florence, KY | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.