Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

LA CASA DE BUENA SALUD INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·PORTALES, NM·NPI: 1972603165Share

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 $19.4M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.4M

$19,370,994

Total Claims

235K

Beneficiaries

216K

1.1 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+7%
2019
$3.9M
-8%
2020
$3.6M
+0%
2021
$3.6M
-32%
2022
$2.5M
-62%
2023
$936K
+14%
2024
$1.1M

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 37% of total spending.

99213Top 5%

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

$7.3M

49K claims · 37.5%

Your Cost: $149.39/claim|Median: $37.81
4.0× median
D0999Normal range

Unspecified diagnostic procedure, by report

$3.9M

22K claims · 20.3%

Your Cost: $181.81/claim|Median: $101.33
1.8× median
99214Top 5%

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

$2.6M

19K claims · 13.6%

Your Cost: $140.95/claim|Median: $53.41
2.6× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$975K

5,966 claims · 5.0%

Your Cost: $163.35/claim|Median: $75.18
2.2× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$825K

5,000 claims · 4.3%

Your Cost: $165.00/claim|Median: $69.35
2.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$736K

4,463 claims · 3.8%

Your Cost: $164.84/claim|Median: $74.82
2.2× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$604K

3,497 claims · 3.1%

Your Cost: $172.77/claim|Median: $13.30
13.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$505K

3,080 claims · 2.6%

Your Cost: $163.87/claim|Median: $80.15
2.0× median
99203Top 5%

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

$431K

2,728 claims · 2.2%

Your Cost: $157.93/claim|Median: $57.85
2.7× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$284K

1,645 claims · 1.5%

Your Cost: $172.89/claim|Median: $22.44
7.7× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$264K

5,774 claims · 1.4%

Your Cost: $45.80/claim|Median: $9.80
4.7× median
99212Top 5%

Office/outpatient visit, low complexity

$165K

1,162 claims · 0.9%

Your Cost: $141.73/claim|Median: $25.06
5.7× median
99204Top 10%

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

$146K

980 claims · 0.8%

Your Cost: $148.64/claim|Median: $84.03
1.8× median
G0467Normal range

Federally qualified health center visit, mental health

$106K

5,882 claims · 0.5%

Your Cost: $18.09/claim|Median: $21.91
0.8× median
99381Top 5%

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

$70K

444 claims · 0.4%

Your Cost: $158.70/claim|Median: $73.46
2.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$60K

378 claims · 0.3%

Your Cost: $158.06/claim|Median: $72.71
2.2× median
99238Top 1%

Hospital discharge day management, 30 minutes or less

$45K

291 claims · 0.2%

Your Cost: $155.21/claim|Median: $37.22
4.2× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$44K

254 claims · 0.2%

Your Cost: $171.80/claim|Median: $83.63
2.1× median
1000FTop 5%

$39K

2,333 claims · 0.2%

Your Cost: $16.65/claim|Median: $0.01
1664.8× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$37K

256 claims · 0.2%

Your Cost: $146.08/claim|Median: $76.06
1.9× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$32K

220 claims · 0.2%

Your Cost: $146.65/claim|Median: $40.11
3.7× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$31K

195 claims · 0.2%

Your Cost: $158.75/claim|Median: $81.92
1.9× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$28K

163 claims · 0.1%

Your Cost: $169.30/claim|Median: $32.55
5.2× median

COVID-19 vaccine (Moderna), first dose

$18K

894 claims · 0.1%

1159FTop 5%

$14K

3,996 claims · 0.1%

Your Cost: $3.61/claim|Median: $0.01
361.3× median
99460Top 1%

Initial hospital or birthing center care, newborn, per day

$13K

80 claims · 0.1%

Your Cost: $164.99/claim|Median: $62.48
2.6× median
99382Top 5%

Preventive visit, new patient, early childhood (1-4 yr)

$10K

67 claims · 0.1%

Your Cost: $154.27/claim|Median: $79.89
1.9× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$10K

65 claims · 0.1%

Your Cost: $150.19/claim|Median: $76.22
2.0× median
1126FTop 5%

$7K

1,271 claims · 0.0%

Your Cost: $5.59/claim|Median: $0.02
279.7× median
99462Top 1%

$5K

39 claims · 0.0%

Your Cost: $138.07/claim|Median: $27.49
5.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$5K

8,747 claims · 0.0%

Your Cost: $0.58/claim|Median: $17.85
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$3K

5,206 claims · 0.0%

Your Cost: $0.55/claim|Median: $6.93
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

5,008 claims · 0.0%

Your Cost: $0.47/claim|Median: $7.18
0.1× median
1125FTop 5%

$2K

554 claims · 0.0%

Your Cost: $4.15/claim|Median: $0.03
138.4× median
99215Normal range

Office/outpatient visit, high complexity

$2K

127 claims · 0.0%

Your Cost: $17.57/claim|Median: $74.09
0.2× median
2001FTop 25%

$2K

4,253 claims · 0.0%

Your Cost: $0.40/claim|Median: $0.02
19.8× median

$1K

3,087 claims · 0.0%

D1120Normal range

Prophylaxis, adult

$1K

2,454 claims · 0.0%

Your Cost: $0.50/claim|Median: $33.86
0.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$1K

206 claims · 0.0%

Your Cost: $5.02/claim|Median: $30.04
0.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$925

1,019 claims · 0.0%

Your Cost: $0.91/claim|Median: $14.36
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$803

1,320 claims · 0.0%

Your Cost: $0.61/claim|Median: $32.07
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$692

3,763 claims · 0.0%

Your Cost: $0.18/claim|Median: $11.48
0.0× median
J0696Normal range

$639

416 claims · 0.0%

Your Cost: $1.54/claim|Median: $1.34
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$633

347 claims · 0.0%

Your Cost: $1.82/claim|Median: $2.00
0.9× median
90633Normal range

$592

2,061 claims · 0.0%

Your Cost: $0.29/claim|Median: $3.56
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$564

799 claims · 0.0%

Your Cost: $0.71/claim|Median: $5.50
0.1× median
87804Normal range

Influenza virus detection, rapid test

$553

2,374 claims · 0.0%

Your Cost: $0.23/claim|Median: $12.59
0.0× median
87807Normal range

$536

411 claims · 0.0%

Your Cost: $1.31/claim|Median: $10.06
0.1× median
90696Normal range

DTaP-IPV vaccine

$474

925 claims · 0.0%

Your Cost: $0.51/claim|Median: $5.95
0.1× median
1220FTop 25%

$448

876 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.01
51.1× median