Medicaid Provider Spending

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

EL CENTRO FAMILY HEALTH

NPI: 1932407681 · TAOS, NM 87571 · Federally Qualified Health Center (FQHC) · NPI assigned 03/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PEASE, LORE controls 20+ related entities in our dataset. Read more

$2.29M
Total Medicaid Paid
23,902
Total Claims
20,008
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEASE, LORE (CEO)
NPI Enumeration Date03/04/2011

Related Entities

Other providers sharing the same authorized official: PEASE, LORE

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,642 $24K
2019 1,520 $23K
2020 4,018 $340K
2021 3,651 $401K
2022 6,745 $837K
2023 4,128 $483K
2024 2,198 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,836 6,000 $838K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,575 4,137 $623K
90837 Psychotherapy, 53 minutes with patient 1,317 629 $232K
90832 Psychotherapy, 30 minutes with patient 1,410 1,048 $193K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,140 984 $100K
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 3,401 2,658 $66K
90863 345 334 $46K
Q3014 Telehealth originating site facility fee 367 358 $45K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,262 801 $42K
90834 Psychotherapy, 45 minutes with patient 90 64 $16K
99442 100 86 $16K
H0038 Self-help/peer services, per 15 minutes 49 43 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 47 $8K
0124A 65 65 $7K
99441 45 44 $6K
0134A 57 57 $5K
80305 704 676 $5K
90791 Psychiatric diagnostic evaluation 27 27 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 26 $5K
H0049 Alcohol and/or drug screening 25 25 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 280 262 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $2K
0002A 14 14 $2K
0001A 16 16 $2K
0013A 13 13 $2K
0003A 14 13 $2K
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 52 32 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 110 107 $1K
90688 163 152 $1K
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 83 67 $1K
90686 33 33 $901.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 224 222 $864.45
20553 13 12 $271.50
83036 Hemoglobin; glycosylated (A1C) 67 67 $228.86
99000 95 94 $220.97
81002 61 56 $203.29
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 23 $166.95
36415 Collection of venous blood by venipuncture 387 374 $145.78
81025 20 20 $111.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22 22 $58.31
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 33 29 $29.31
G0008 Administration of influenza virus vaccine 31 25 $15.26
3008F 182 175 $0.00
3351F 14 14 $0.00
1220F 16 16 $0.00
4001F 15 12 $0.00