Loading...
NPI 1902993132 · Albuquerque, NM · Federally Qualified Health Center (FQHC)
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
First Choice Community Healthcare, Inc. is a federally qualified health center (fqhc) provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 149 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | First Choice Community Healthcare, Inc. |
| Address | 2001 El Centro Familiar Sw |
| City | Albuquerque |
| State | NM |
| ZIP | 87105 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | October 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $74.1M |
| Medicare | $0 |
FIRST CHOICE COMMUNITY HEALTHCARE, INC. has no Medicare billing on file and is effectively a Medicaid-focused provider, reporting $74.1M in total Medicaid revenue; the absence of Medicare activity means analyses of this entity should treat it as a single-payer (Medicaid) operation for the available claims data. The provider’s NPI was enumerated on 2006-10-09 (~20 years ago), indicating a long-tenured presence in the market tied to sustained Medicaid billing.
Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 94.4% of the provider’s Medicaid revenue, with T1015 alone representing $54.7M (74.3%), D0999 contributing $8.8M (12.0%), and H0031 contributing $5.9M (8.0%). This concentration means strategic changes to reimbursement or utilization of any one of these codes would materially impact overall revenue.
The code mix and volumes indicate an FQHC-style, encounter-centered operating model: T1015 (Clinic visit/encounter, all-inclusive) has 329.8K claims and $54.7M revenue, reflecting high-volume, bundled per-encounter billing consistent with federally qualified health center workflows. The sizable H0031 volume (35.2K claims, $5.9M) shows integrated behavioral health or extensive use of non-physician mental health assessments within the practice, while D0999 (51.4K claims, $8.8M) is a large but description-missing code that likely represents a materially important category of miscellaneous or non-standard services in their Medicaid mix.
This provider is a dominant statewide player for several high-revenue Medicaid codes: T1015 ranks #1 of 15 providers in-state (100th percentile; extreme outlier), D0999 ranks #1 of 82 (100th percentile; extreme outlier), and H0031 ranks #1 of 39 (100th percentile; extreme outlier). Multiple additional codes tied to telehealth and virtual visits (for example 99442, 99441, 99443) also rank #1 in-state, reinforcing that the organization is an outlier by volume across multiple service lines.
Telehealth and remote-visit billing comprises a visible component of activity: 99442 reports 27K claims and $1.2M revenue (rank #1 of 145; 100th percentile; extreme outlier), 99441 has 15.5K claims and $417.7K (rank #1 of 119; 100th percentile; extreme outlier), and G2025 (telehealth payment for FQHC/RHC) has 3.8K claims and $107.7K revenue (rank #1 of 65; 100th percentile; extreme outlier). At the same time Q3014 (telehealth originating site) shows 1.7K claims and $252.9K revenue and ranks in the mid-range (67/179, 63rd percentile), indicating the provider pairs high-volume remote-care delivery with a mix of more typical telehealth originating-site activity.
Preventive care and primary-care support services appear substantial: pediatric and seasonal vaccination codes 90460 (27.9K claims, $139.4K), 90461 (16.6K claims, $182.4K), and 90686 (15.2K claims, $60.6K) are all among the top-25, and lab/monitoring codes like 83036 (14.8K claims, $59.4K) and 80305 (12K claims, $71.8K) show frequent chronic-disease monitoring and screening activity. These volumes align with an FQHC delivering routine immunizations, preventive visits, and ongoing chronic-care management to a Medicaid population.
The provider’s coding pattern shows reliance on FQHC-style bundled billing rather than fee-for-service E/M as the primary revenue driver: G0467 (FQHC visit) appears but is comparatively small (12.3K claims, $271.5K, rank #4 of 100), while standard E/M codes like 99213 (136.5K claims, $546.1K, rank #6 of 932) and 99214 (39.8K claims, $159.3K) generate relatively low average paid/claim amounts ($4 per claim for 99213 and $4 per claim for 99214) compared with the all-inclusive T1015 payments. This suggests the organization bills many encounters through the FQHC bundle (T1015) and supplements with targeted fee-for-service lines.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
149 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 329,770 | $170 | $54.7M |
| D0999 | N/A | 51,440 | $170 | $8.8M |
| H0031 | Mental health assessment, by non-physician | 35,150 | $170 | $5.9M |
| 99442 | N/A | 27,050 | $50 | $1.2M |
| 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… | 136,520 | $1 | $546.1K |
| 99441 | N/A | 15,470 | $30 | $417.7K |
| 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… | 12,340 | $20 | $271.5K |
| Q3014 | Telehealth originating site facility fee | 1,660 | $150 | $252.9K |
| 99443 | N/A | 4,850 | $50 | $242.3K |
| 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… | 16,590 | $10 | $182.4K |
Showing 1–10 of 149
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
149 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1 | 20 | 6,090 | $180 | $7.2M |
| D0999 | N/A | 1 | 80 | 2,250 | $190 | $987.3K |
| Q3014 | Telehealth originating site facility fee | 67 | 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… | 6 | 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… | 22 | 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… | 8 | 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… | 111 | 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… | 8 | 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,… | 9 | 380 | 220 | $160 | $273.9K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 5 | 10 | 50 | $900 | $273.5K |
Showing 1–10 of 149
Other providers in the same ZIP code as First Choice Community Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.