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 1730152281)

Field	Value
Entity Type	Organization
Organization	La Clinica De Familia, Incorporated
Address	2625 Mcnutt Rd
City	Sunland Park
State	NM
ZIP	88063
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 7, 2006

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 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…	12,250	$130	$1.6M
D0999	N/A	7,870	$200	$1.6M
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…	8,440	$140	$1.2M
H2015	Comprehensive community support services, per 15 minutes	5,510	$190	$1M
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…	4,150	$180	$758.9K
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,…	3,290	$140	$457.9K
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…	1,970	$190	$364.4K
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…	1,960	$190	$362.6K
99442	N/A	1,810	$170	$303.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,380	$190	$265K

Showing 1–10 of 66

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 — 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	49	120	2,640	$150	$1.2M
D0999	N/A	22	80	2,250	$190	$987.3K
Q3014	Telehealth originating site facility fee	175	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…	98	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…	120	960	1,010	$90	$490K
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…	300	920	860	$120	$361.9K
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,…	36	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…	49	380	400	$80	$213.5K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	24	50	410	$140	$198.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	83	190	970	$40	$189.7K

Showing 1–10 of 66

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	$8.1M
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
Med-care P.A., LLC.	NM	Home Health Agency	$0	$19.6M
Gadsden Independent School District	NM	Local Education Agency (LEA)	$0	$2.4M
Viva Health	NM	Family Medicine Physician	$0	$2.2M

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