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HIDALGO MEDICAL SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·LORDSBURG, NM·NPI: 1306843180Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.2M

$40,207,459

Total Claims

298K

Beneficiaries

254K

1.2 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$6.1M
-7%
2019
$5.7M
+1%
2020
$5.7M
+11%
2021
$6.4M
-1%
2022
$6.3M
-8%
2023
$5.8M
-26%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 27% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$10.7M

50K claims · 26.5%

Your Cost: $215.16/claim|Median: $37.81
5.7× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$7.7M

36K claims · 19.3%

Your Cost: $212.60/claim|Median: $53.41
4.0× median
Q3014Top 1%

Telehealth originating site facility fee

$5.5M

28K claims · 13.7%

Your Cost: $198.00/claim|Median: $15.37
12.9× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$3.4M

15K claims · 8.5%

Your Cost: $231.01/claim|Median: $101.33
2.3× median
90834Top 5%

Psychotherapy, 45 minutes

$2.5M

11K claims · 6.2%

Your Cost: $218.93/claim|Median: $63.65
3.4× median
90837Top 5%

Psychotherapy, 60 minutes

$1.9M

8,539 claims · 4.8%

Your Cost: $227.36/claim|Median: $85.66
2.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.4M

8,186 claims · 3.5%

Your Cost: $170.95/claim|Median: $96.24
1.8× median
90853Top 5%

Group psychotherapy

$925K

4,090 claims · 2.3%

Your Cost: $226.20/claim|Median: $25.02
9.0× median
90832Top 5%

Psychotherapy, 30 minutes

$794K

3,608 claims · 2.0%

Your Cost: $220.01/claim|Median: $41.28
5.3× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$607K

2,742 claims · 1.5%

Your Cost: $221.25/claim|Median: $75.18
2.9× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$553K

2,507 claims · 1.4%

Your Cost: $220.47/claim|Median: $80.15
2.8× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$507K

2,327 claims · 1.3%

Your Cost: $218.05/claim|Median: $74.82
2.9× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$454K

2,065 claims · 1.1%

Your Cost: $219.89/claim|Median: $69.35
3.2× median
90791Top 5%

Psychiatric diagnostic evaluation

$384K

1,746 claims · 1.0%

Your Cost: $219.65/claim|Median: $99.21
2.2× median
99212Top 1%

Office/outpatient visit, low complexity

$358K

1,666 claims · 0.9%

Your Cost: $214.99/claim|Median: $25.06
8.6× median
H0038Top 10%

Self-help/peer services, per 15 minutes

$332K

1,402 claims · 0.8%

Your Cost: $236.62/claim|Median: $55.04
4.3× median
99215Top 5%

Office/outpatient visit, high complexity

$288K

1,345 claims · 0.7%

Your Cost: $214.18/claim|Median: $74.09
2.9× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$251K

1,090 claims · 0.6%

Your Cost: $230.18/claim|Median: $76.06
3.0× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$211K

909 claims · 0.5%

Your Cost: $232.55/claim|Median: $72.71
3.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$142K

6,578 claims · 0.4%

Your Cost: $21.57/claim|Median: $17.15
1.3× median
97803Top 1%

Medical nutrition therapy, reassessment, group, thirty minutes

$131K

580 claims · 0.3%

Your Cost: $226.45/claim|Median: $24.33
9.3× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$121K

532 claims · 0.3%

Your Cost: $227.17/claim|Median: $36.70
6.2× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$120K

558 claims · 0.3%

Your Cost: $215.46/claim|Median: $36.49
5.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$107K

471 claims · 0.3%

Your Cost: $228.20/claim|Median: $33.72
6.8× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$107K

507 claims · 0.3%

Your Cost: $211.30/claim|Median: $57.85
3.7× median
90847Top 5%

Family psychotherapy with patient, 50 min

$87K

400 claims · 0.2%

Your Cost: $217.48/claim|Median: $77.33
2.8× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$59K

259 claims · 0.1%

Your Cost: $227.84/claim|Median: $33.85
6.7× median
G0467Normal range

Federally qualified health center visit, mental health

$56K

2,074 claims · 0.1%

Your Cost: $26.96/claim|Median: $21.91
1.2× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$53K

230 claims · 0.1%

Your Cost: $228.72/claim|Median: $25.93
8.8× median
97802Top 1%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$45K

218 claims · 0.1%

Your Cost: $207.16/claim|Median: $12.70
16.3× median
0124ATop 5%

$38K

316 claims · 0.1%

Your Cost: $119.98/claim|Median: $34.32
3.5× median
0072ATop 1%

$36K

157 claims · 0.1%

Your Cost: $231.92/claim|Median: $39.57
5.9× median
0071ATop 1%

$35K

152 claims · 0.1%

Your Cost: $230.39/claim|Median: $38.71
6.0× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$29K

120 claims · 0.1%

Your Cost: $244.48/claim|Median: $108.91
2.2× median
D0140Normal range

Limited oral evaluation, problem focused

$19K

919 claims · 0.0%

Your Cost: $21.14/claim|Median: $27.07
0.8× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$18K

79 claims · 0.0%

Your Cost: $229.25/claim|Median: $32.49
7.1× median
D1110Normal range

Prophylaxis, adult cleaning

$18K

882 claims · 0.0%

Your Cost: $20.24/claim|Median: $43.38
0.5× median
91301

COVID-19 vaccine (Moderna), first dose

$13K

634 claims · 0.0%

0134ATop 5%

$12K

88 claims · 0.0%

Your Cost: $141.73/claim|Median: $33.54
4.2× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$12K

51 claims · 0.0%

Your Cost: $229.40/claim|Median: $91.63
2.5× median
0013ATop 1%

$10K

44 claims · 0.0%

Your Cost: $221.38/claim|Median: $35.38
6.3× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$9K

46 claims · 0.0%

Your Cost: $201.40/claim|Median: $40.11
5.0× median
99381Top 1%

Preventive visit, new patient, infant (<1 yr)

$9K

41 claims · 0.0%

Your Cost: $218.54/claim|Median: $73.46
3.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$8K

198 claims · 0.0%

Your Cost: $39.18/claim|Median: $46.33
0.8× median
H0031Top 25%

Mental health assessment by non-physician

$7K

33 claims · 0.0%

Your Cost: $216.17/claim|Median: $96.18
2.2× median
91300Top 10%

COVID-19 vaccine (Pfizer), first dose

$7K

1,734 claims · 0.0%

Your Cost: $3.86/claim|Median: $0.01
386.0× median
0073ATop 5%

$4K

19 claims · 0.0%

Your Cost: $231.92/claim|Median: $40.00
5.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$4K

628 claims · 0.0%

Your Cost: $6.67/claim|Median: $32.07
0.2× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$4K

17 claims · 0.0%

Your Cost: $228.48/claim|Median: $22.44
10.2× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$4K

18 claims · 0.0%

Your Cost: $214.62/claim|Median: $13.30
16.1× median

Other Top Providers in New Mexico

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Ambercare Home Health Care Corporation

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$518.1M

Unm Hospital

General Acute Care Hospital

$463.3M

Presbyterian Healthcare Services

Emergency Medicine

$345.5M

Presbyterian Healthcare Services

Surgery

$240.2M

DHHS PHS Naihs Shiprock Hospital

General Acute Care Hospital

$190.6M

Similar Providers

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Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

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