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.

Womens Specialists Of New Mexico Ltd (NPI 1063418960)

Womens Specialists Of New Mexico Ltd is a obstetrics & gynecology physician provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Womens Specialists Of New Mexico Ltd
Address	6320 Riverside Plaza Ln Nw Ste B
City	Albuquerque
State	NM
ZIP	87120
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

31 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…	14,920	$60	$939.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	5,600	$90	$503.6K
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…	4,660	$100	$484.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,560	$100	$157.6K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	980	$90	$88.2K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	10,760	$10	$86.1K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	550	$110	$58.2K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	390	$130	$51.2K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	270	$170	$45.6K
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,…	580	$40	$23.2K

Showing 1–10 of 31

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

Womens Specialists Of New Mexico Ltd — 4 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	19	20	750	$90	$524.9K
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…	77	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…	200	960	1,010	$90	$490K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	36	40	240	$120	$315K
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,…	134	380	220	$160	$273.9K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	16	30	500	$80	$255.4K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	14	40	240	$90	$248K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	29	30	410	$80	$146.3K
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…	313	320	220	$110	$146.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	30	40	330	$80	$134.8K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa Bishop	NM	Advanced Practice Midwife	$8.9K	$0
Rebecca Okun	NM	Obstetrics & Gynecology Physician	$6.7K	$0
Rebecca Babinski	NM	Physician Assistant	$4.9K	$0
Felicia Mancini	NM	School Registered Nurse	$4.2K	$0
Eunice Madrid	NM	Advanced Practice Midwife	$2.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inteli-care, LLC	NM	Home Health Agency	$0	$58.2M
Expressions Of Life	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$39.7M
Providence Support Services Inc.	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.8M
Nextcare New Mexico LLC	NM	Urgent Care Clinic/Center	$0	$17M
Atencion Family Services, Inc	NM	Respite Care	$0	$16.5M
Superior Ambulance Service Inc	NM	Land Ambulance	$578.5K	$10.1M
Practical Therapy Inc.	NM	Specialist	$0	$7.7M
Legacy Healthcare Inc.	NM	Community Based Hospice Care Agency	$0	$6.9M
Armada Physical Therapy Of Albuquerque LLC	NM	Multi-Specialty Clinic/Center	$0	$6.9M
The Family Connection LLC	NM	Community/Behavioral Health Agency	$0	$6M

Womens Specialists Of New Mexico Ltd — Billing Profile & Reimbursement Data

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Womens Specialists Of New Mexico Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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