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 Casa De Buena Salud Inc. (NPI 1972603165)

Field	Value
Entity Type	Organization
Organization	La Casa De Buena Salud Inc.
Address	1515 W Fir
City	Portales
State	NM
ZIP	88130
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

123 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…	48,610	$150	$7.2M
D0999	N/A	21,670	$180	$3.9M
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…	18,690	$140	$2.6M
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…	5,970	$160	$972.5K
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…	5,000	$170	$825K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,460	$170	$736.4K
99441	N/A	3,500	$170	$605K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,080	$160	$505.1K
99203	The provider sees a new 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 provider…	2,730	$160	$431K
99442	N/A	1,650	$170	$284.6K

Showing 1–10 of 123

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 Casa De Buena Salud Inc. — 6 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

123 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	3	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…	20	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…	47	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…	17	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…	12	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,…	90	380	220	$160	$273.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	13	120	430	$110	$205.4K
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…	19	110	610	$40	$148.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	185	320	220	$110	$146.2K
D2392	Post 2 surface resin‑based composite	210	250	430	$70	$143.3K

Showing 1–10 of 123

Related Providers

Other providers that share a Tax Identification Number (TIN) with La Casa De Buena Salud Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Casa De Buena Salud Inc	NM	Federally Qualified Health Center (FQHC)	$0	$11M
La Casa De Buena Salud Inc	NM	Federally Qualified Health Center (FQHC)	$0	$2.5M
Renee Johnson	MT	Pediatrics Physician	$0	$345.2K
Johanna Pettrey	NM	Family Nurse Practitioner	$35.4K	$0

Nearby Providers

Other providers in the same ZIP code as La Casa De Buena Salud Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roosevelt County Special Hospital District	NM	Rural Health Clinic/Center	$0	$27.7M
Roosevelt County Special Hospital District	NM	General Acute Care Hospital	$0	$13.3M
Courageous Outcomes Therapies, LLC	NM	Physical Therapist	$0	$2.3M
Regional Educational Center #6	NM	Local Education Agency (LEA)	$0	$2.2M
Mental Health Resources, Inc.	NM	Mental Health Counselor	$0	$1.8M
City Of Portales	NM	Land Ambulance	$235K	$1.4M
Be Well Counseling Services, PC	NM	Community/Behavioral Health Agency	$0	$1.6M
Med-trans Corporation	NM	Air Ambulance	$118.1K	$274.8K
Leslie Donaldson	NM	Internal Medicine Physician	$96K	$0
Joel Sievers	NM	Family Medicine Physician	$60K	$0

La Casa De Buena Salud Inc. — Billing Profile & Reimbursement Data

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La Casa De Buena Salud Inc. — 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