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    OpenPayerNPI Medicare & MedicaidSan Juan Regional Medical Center Inc
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    San Juan Regional Medical Center Inc — Billing Profile & Reimbursement Data

    NPI 1093800534 · Farmington, NM · Pediatrics Physician

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    San Juan Regional Medical Center Inc is a pediatrics physician provider located in Farmington, New Mexico. This profile covers 0 Medicare and 65 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
    OrganizationSan Juan Regional Medical Center Inc
    Address407 S Schwartz Ave
    CityFarmington
    StateNM
    ZIP87401
    TaxonomyPediatrics Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$15.7M
    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…52,760$100$5.3M
    99213The 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…34,880$70$2.6M
    99391Preventive 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…18,000$100$1.8M
    99392Preventive 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…16,250$100$1.6M
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.48,480$30$1.4M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.8,820$100$881.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.33,790$20$709.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.4,120$100$416.1K
    90473In this procedure, the provider administers a live attenuated vaccine through intranasal or oral route.10,300$20$216.3K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…10,560$10$147.8K

    Showing 1–10 of 65

    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

    65 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…28930910$80$521.6K
    99214The 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…189601,010$90$490K
    99391Preventive 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…51001,100$110$362K
    99392Preventive 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…5120670$110$301.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…88120430$50$279.7K
    99212The 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,…142380220$160$273.9K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…265380400$80$213.5K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.6120430$110$205.4K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…280290470$70$161.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…6590180$140$152.6K

    Showing 1–10 of 65

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with San Juan Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Juan Regional Medical Center, Inc.NMGeneral Acute Care Hospital$0$141.5M
    San Juan Regional Medical Center IncNMEmergency Medicine Physician$0$23.8M
    San Juan Regional Medical Center IncNMFamily Medicine Physician$0$7.9M
    Orthopedic Associates PANMOrthopaedic Surgery Physician$0$4.4M
    San Juan Regional Medical Center IncNMHospitalist Physician$0$3.6M
    San Juan Regional Medical Center IncNMNeurology Physician$0$2.5M
    San Juan Regional Medical Center IncNMInternal Medicine Physician$0$1.5M
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    San Juan Regional Medical Center IncNMPsychiatry Physician$0$1.4M
    Graeme FisherILTherapeutic Radiology Physician$658K$0

    Nearby Providers

    Other providers in the same ZIP code as San Juan Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Basin Coordinated Healthcare,incNMPersonal Care Attendant$0$79.7M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$41.2M
    Links Ii IncNMIn Home Supportive Care Agency$0$38.9M
    Generations Personal Care, IncNMPersonal Care Attendant$0$33.9M
    Southwestern Private Services, Inc.NMHome Health Agency$0$30.4M
    San Juan Center For IndependenceNMHome Health Agency$0$22.5M
    Cottonwood Clinical Services, Inc.NMCommunity/Behavioral Health Agency$0$18.1M
    Better Together Home And Community Services, LLCNMChild Intellectual and/or Developmental Disabilities Respite Care$0$14.5M
    Southwestern Private Services, IncNMHome Health Agency$0$7.3M
    Pms Dba Roundtree Childrens' Development ServicesNMDevelopmental Disabilities Clinic/Center$0$6.9M

    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
    San Juan Regional Medical Center Inc — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico