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 Clinica De Familia, Incorporated (NPI 1699748921)

Field	Value
Entity Type	Organization
Organization	La Clinica De Familia, Incorporated
Address	855 Anthony Dr
City	Anthony
State	NM
ZIP	88021
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 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…	27,570	$130	$3.6M
D0999	N/A	6,830	$200	$1.4M
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…	4,840	$120	$565.8K
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,…	3,100	$130	$393.4K
99442	N/A	2,240	$170	$371.7K
99441	N/A	1,840	$170	$302.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,690	$170	$290.9K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	2,750	$90	$233.8K
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…	810	$170	$137.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	800	$170	$136.7K

Showing 1–10 of 72

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 Clinica De Familia, Incorporated — 4 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	25	80	2,250	$190	$987.3K
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…	40	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…	195	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…	97	100	1,100	$110	$362K
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…	84	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,…	38	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…	142	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.	73	120	430	$110	$205.4K
90832	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…	132	290	470	$70	$161.5K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	81	110	610	$40	$148.2K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with La Clinica De Familia, Incorporated, 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 Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$17.3M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$15.7M
La Clinica De Familia, Incorporated	NM	Foster Care Agency	$0	$9.3M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$8.6M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$7.2M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$7.2M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$7M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$4M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$3.2M

Nearby Providers

Other providers in the same ZIP code as La Clinica De Familia, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Personal Care	NM	Home Health Agency	$0	$27.7M
Nm Cuidado Casero Home Health LLC	NM	In Home Supportive Care Agency	$0	$27.4M
Familia Care	NM	In Home Supportive Care Agency	$0	$13.2M
Abanza Pesonal Care Services Ii LLC	NM	Home Health Agency	$0	$12.6M
Rocas, Inc.	NM	Pediatrics Physician	$0	$6.6M
Jose De Anda	NM	Pediatrics Physician	$0	$2.4M
Martin Ancona LLC	NM	Clinical Psychologist	$0	$2M
Alejandra Pina Martinez	NM	Family Nurse Practitioner	$94.6K	$0
Martin Ancona	NM	Prescribing (Medical) Psychologist	$6.3K	$0

La Clinica De Familia, Incorporated — Billing Profile & Reimbursement Data

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La Clinica De Familia, Incorporated — 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