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    OpenPayerNPI Medicare & MedicaidRoosevelt County Special Hospital District
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    Roosevelt County Special Hospital District — Billing Profile & Reimbursement Data

    NPI 1073517058 · Portales, NM · General Acute Care Hospital

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    Roosevelt County Special Hospital District is a general acute care hospital provider located in Portales, New Mexico. This profile covers 0 Medicare and 201 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRoosevelt County Special Hospital District
    Address42121 Us Highway 70
    CityPortales
    StateNM
    ZIP88130
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 8, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    201 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.11,790$200$2.4M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.7,720$150$1.2M
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…2,200$350$777K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1,950$380$738.7K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.2,660$270$713.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…9,400$60$554.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.26,180$20$418.8K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…5,010$70$365.7K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…7,260$50$355.9K
    G0378Hospital observation service, per hour1,000$350$352.3K

    Showing 1–10 of 201

    • More pages

    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.

    Full comparison — all codes billed, vs. New Mexico median

    201 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.398012,050$160$3.9M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.47706,920$210$3.5M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.478010,650$130$2.4M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.33603,070$210$1.4M
    G0378Hospital observation service, per hour18401,000$400$1M
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.35602,820$110$799.5K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…24507,300$60$737.6K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…710230$350$630.3K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…2030280$400$607.8K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.57803,340$60$595K

    Showing 1–10 of 201

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Roosevelt County Special Hospital District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roosevelt County Special Hospital DistrictNMRural Health Clinic/Center$0$27.7M
    Roosevelt County Special Hospital DistrictNMRural Health Clinic/Center$0$3.4M
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Alexander HarvinIADiagnostic Radiology Physician$353.1K$0
    Peter PiampianoTNDiagnostic Radiology Physician$254.4K$20.1K
    Naveen SelvamPADiagnostic Radiology Physician$190.6K$80
    Mohammad HassanNMCardiovascular Disease Physician$181K$0
    Bhaskar SahayNMGeneral Practice Physician$115.9K$0
    Amit SanghiSCDiagnostic Radiology Physician$99.2K$940
    Carol MarquezNMEmergency Medicine Physician$80.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Roosevelt County Special Hospital District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Casa De Buena Salud Inc.NMFederally Qualified Health Center (FQHC)$0$19.4M
    Courageous Outcomes Therapies, LLCNMPhysical Therapist$0$2.3M
    Regional Educational Center #6NMLocal Education Agency (LEA)$0$2.2M
    Mental Health Resources, Inc.NMMental Health Counselor$0$1.8M
    City Of PortalesNMLand Ambulance$235K$1.4M
    Be Well Counseling Services, PCNMCommunity/Behavioral Health Agency$0$1.6M
    Med-trans CorporationNMAir Ambulance$118.1K$274.8K
    Leslie DonaldsonNMInternal Medicine Physician$96K$0
    Joel SieversNMFamily Medicine Physician$60K$0
    Krishna LingalaNMPhysical Medicine & Rehabilitation Physician$41.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. New Mexico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Roosevelt County Special Hospital District — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico