Clinic
First Nations Community Health Source, INC.
First Nations Community Health Source, INC. was paid $15.38M by Medicaid between Jan 2018 and Aug 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoFIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
33aNPI1932199171assigned 10/27/2005
33bProvider typeClinic/Center
28Total paid$15.38M
24GClaims160,756
24DCodes billed83
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Clinic/Center providers in New Mexico
Rank by total paid#3 of 52
Median peer was paid$827K
This provider vs. median19×
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 | 22,450 | $2.05M | |
| 2019 | 27,795 | $2.24M | |
| 2020 | 31,889 | $2.74M | |
| 2021 | 29,470 | $2.99M | |
| 2022 | 23,370 | $2.45M | |
| 2023 | 22,105 | $2.47M | |
| 2024incomplete | 3,677 | $444K |
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 | 22% | 34,329 | 29,044 | $3.43M |
| D0999 | Unspecified diagnostic procedure, by report | 18% | 15,438 | 13,000 | $2.72M |
| H0049 | Alcohol and/or drug screening | 10% | 10,391 | 10,339 | $1.61M |
| Q3014 | Telehealth originating site facility fee | 10% | 15,460 | 8,620 | $1.54M |
| 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 | 5.8% | 8,958 | 8,571 | $894K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.8% | 6,102 | 3,215 | $893K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.3% | 6,931 | 1,910 | $819K |
| 36416 | 2.7% | 5,215 | 5,157 | $416K | |
| 80305 | 2.7% | 4,118 | 3,382 | $408K | |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 5,823 | 5,717 | $318K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 2,498 | 2,284 | $303K |
| 86803 | 1.2% | 3,036 | 3,014 | $191K |
71 more codes
| 90834 | Psychotherapy session, about 45 minutes | 1.2% | 1,290 | $181K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 1,699 | $172K |
| 81025 | <1% | 2,717 | $145K | |
| 81002 | <1% | 2,051 | $144K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 989 | $126K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 1,318 | $123K |
| 86703 | <1% | 3,577 | $117K | |
| 81003 | <1% | 1,505 | $77K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 752 | $68K |
| 87522 | Neg quan hep c or qual rna | <1% | 1,044 | $63K |
| 90656 | <1% | 1,546 | $62K | |
| 87430 | <1% | 530 | $56K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,789 | $48K |
| G0467 | Community health center visit, returning patient | <1% | 2,429 | $48K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 547 | $47K |
| 82274 | <1% | 1,146 | $46K | |
| 90715 | <1% | 983 | $36K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 292 | $30K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 145 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 150 | $19K |
| 82044 | <1% | 713 | $17K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 271 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 152 | $14K |
| 99173 | <1% | 312 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 353 | $12K |
| 90651 | <1% | 231 | $12K | |
| 80061 | Lipid panel | <1% | 1,539 | $10K |
| 90670 | <1% | 240 | $10K | |
| 88164 | <1% | 116 | $9K | |
| 90632 | <1% | 201 | $9K | |
| 90686 | <1% | 241 | $9K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 86 | $8K |
| 90732 | <1% | 250 | $7K | |
| 92587 | <1% | 306 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 93 | $5K |
| 93000 | <1% | 64 | $5K | |
| 90746 | <1% | 124 | $5K | |
| 90723 | <1% | 93 | $4K | |
| 90734 | <1% | 141 | $4K | |
| 99383 | <1% | 24 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $3K |
| 90756 | <1% | 44 | $3K | |
| 99080 | <1% | 184 | $2K | |
| 99384 | <1% | 27 | $2K | |
| 90658 | <1% | 57 | $2K | |
| 90647 | <1% | 106 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $1K |
| 90633 | <1% | 29 | $1K | |
| 90696 | <1% | 12 | $516.01 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 69 | $453.62 |
| 90660 | <1% | 12 | $366.12 | |
| 90681 | <1% | 12 | $332.43 | |
| 99188 | <1% | 14 | $312.50 | |
| 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% | 195 | $273.99 |
| 90710 | <1% | 24 | $205.21 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,217 | $33.94 |
| D1206 | Topical application of fluoride varnish | <1% | 267 | $18.84 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,166 | $17.81 |
| D0180 | 0% | 401 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 682 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 118 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 40 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 67 | $0.00 |
| D4910 | 0% | 26 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 121 | $0.00 |
| D1330 | 0% | 1,848 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 152 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 51 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 56 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 337 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 24 | $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 officialSON-STONE, LINDA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| First Nations Community Healthsource INC | Albuquerque, NM | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.