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.

La Familia Medical Center (NPI 1346251782)

Field	Value
Entity Type	Organization
Organization	La Familia Medical Center
Address	1035 Alto St
City	Santa Fe
State	NM
ZIP	87501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

109 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…	24,280	$140	$3.3M
D0999	N/A	9,780	$170	$1.7M
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…	7,990	$120	$919.2K
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…	3,190	$160	$523.2K
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…	2,020	$170	$333.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,390	$170	$230.6K
99442	N/A	1,450	$160	$229.9K
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,…	1,530	$150	$228.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,180	$160	$193.2K
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…	1,390	$120	$172.7K

Showing 1–10 of 109

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

La Familia Medical Center — 2 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

109 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	16	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.	125	140	130	$220	$568.5K
Q3014	Telehealth originating site facility fee	34	180	620	$160	$546.7K
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…	46	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…	129	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…	27	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…	382	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…	40	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,…	69	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…	203	380	400	$80	$213.5K

Showing 1–10 of 109

Related Providers

Other providers that share a Tax Identification Number (TIN) with La Familia Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$18.2M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$4.7M
Joseph Poole	NM	Nurse Practitioner	$554.4K	$0
Angela Jo	NM	Family Medicine Physician	$72.7K	$0
Russell Brown	NM	Psychiatry Physician	$10K	$360

Nearby Providers

Other providers in the same ZIP code as La Familia Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ececd-families First	NM	Case Management Agency	$0	$10.4M
City Of Santa Fe Payroll	NM	Land Ambulance	$773.5K	$4.3M
Cross Non-emergency Medical Transportation LLC	NM	Non-emergency Medical Transport (VAN)	$0	$4M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$2M
Taos Comprehensive Health Corporation	NM	Urgent Care Clinic/Center	$0	$1.7M
Cvs Pharmacy Inc	NM	Pharmacy	$200.3K	$0
Lesa Fraker	NM	Emergency Medicine Physician	$144K	$0
Christine Varga	NM	Primary Care Nurse Practitioner	$74.1K	$0
Jeffrey Ross	NM	Psychiatry Physician	$70K	$0
Marci Crawford	NM	Family Medicine Physician	$60K	$0

La Familia Medical Center — Billing Profile & Reimbursement Data

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La Familia Medical Center — 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