Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

El Centro Family Health (NPI 1285899054)

Field	Value
Entity Type	Organization
Organization	El Centro Family Health
Address	2010 Industrial Park Rd
City	Espanola
State	NM
ZIP	87532
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 22, 2008

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,570	$120	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,850	$140	$965.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,920	$110	$207.3K
D0999	N/A	1,260	$160	$204.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	880	$140	$123.8K
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…	4,290	$20	$98.6K
H0038	Self‑help/peer services, per 15 minutes	550	$180	$96.3K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,410	$40	$55K
99442	N/A	240	$140	$34.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	170	$170	$29.1K

Showing 1–10 of 57

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

El Centro Family Health — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	47	80	2,250	$190	$987.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	117	140	130	$220	$568.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	123	930	910	$80	$521.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	141	960	1,010	$90	$490K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	82	100	1,100	$110	$362K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	778	920	860	$120	$361.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	83	120	670	$110	$301.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	59	380	220	$160	$273.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	135	380	400	$80	$213.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	116	120	430	$110	$205.4K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with El Centro Family Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$11.6M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$7.3M
Taos Clinic For Children And Youth	NM	Pediatrics Physician	$0	$3.1M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$1.4M
Koryn Michaud	NM	Primary Care Nurse Practitioner	$35.7K	$0
Rana Russell	NM	Family Nurse Practitioner	$34.8K	$0
Morgan Johnson	NM	Physician Assistant	$1.2K	$0

Nearby Providers

Other providers in the same ZIP code as El Centro Family Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Rural Acute Care Hospital	$0	$40.9M
Darrins Place Inc	NM	Community/Behavioral Health Agency	$0	$26M
Ideal Home Care, Inc.	NM	In Home Supportive Care Agency	$0	$9M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$7.6M
Familia Dental Esp LLC	NM	Dental Clinic/Center	$0	$4.1M
Las Cumbres Community Services	NM	Early Intervention Provider Agency	$0	$3.7M
Las Cumbres Community Services	NM	Community/Behavioral Health Agency	$0	$1.6M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
Carey Reed	NM	Psychiatric/Mental Health Clinical Nurse Specialist	$341.4K	$0
Salvadeeswaran Lakshmi-narayanan	NM	Pulmonary Disease Physician	$114.2K	$0

El Centro Family Health — Billing Profile & Reimbursement Data

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El Centro Family Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References