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    OpenPayerNPI Medicare & MedicaidThe Bair Foundation
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    The Bair Foundation — Billing Profile & Reimbursement Data

    NPI 1093927717 · Las Cruces, NM · Community/Behavioral Health Agency

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    The Bair Foundation is a community/behavioral health agency provider located in Las Cruces, New Mexico. This profile covers 0 Medicare and 1 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
    OrganizationThe Bair Foundation
    Address715 E Idaho Ave
    CityLas Cruces
    StateNM
    ZIP88001
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMay 4, 2007

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

    Payer SourceTotal Paid
    Medicaid$46.8M
    Medicare$0

    Key Findings

    THE BAIR FOUNDATION is a community/behavioral health agency enumerated on 2007-05-04 (~19 years ago) and operating in Las Cruces, NM. Its long tenure in the NPI file suggests sustained presence in the local behavioral health and child-care market rather than a recent entrant or short-term program.

    This entity has no Medicare billing on file and is effectively a single-payer Medicaid provider: total Medicaid revenue is $46.8M while Medicare revenue is none. The absence of Medicare revenue underscores that the organization’s payer exposure and revenue base are concentrated in state Medicaid programs rather than dual Medicare/Medicaid streams.

    Precomputed data show the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and that concentration is entirely driven by a single code. S5145 (foster care, therapeutic, child; per diem) accounts for the full $46.8M reported, indicating almost complete dependence on this service line for Medicaid receipts.

    S5145 is a per‑diem foster-care therapeutic child code, so the billing mix points to residential or bed-based therapeutic foster-care operations as the core business model. The reported 18.5K claims and an average paid per claim of $2530 are consistent with high-frequency, per‑diem billing for staffed care settings rather than low-frequency outpatient encounters.

    Competitively, the provider ranks #3 of 13 in-state on S5145 and sits at the 83th percentile, which positions THE BAIR FOUNDATION as a solid regional participant but not an outlier or statewide dominant supplier. The data label this volume as “typical, unremarkable,” indicating its scale is meaningful within New Mexico yet not anomalously large.

    The extreme revenue concentration in a single Medicaid code creates business risk: policy changes, rate adjustments, or shifts in state placement patterns for S5145 could materially affect the provider’s entire revenue base. Lack of Medicare billing further limits revenue diversification and increases sensitivity to Medicaid program decisions.

    Operationally, 18.5K claims with $2530 average paid/claim implies sustained, high-volume service delivery and administrative throughput to manage per‑diem billing, authorizations, and placements. This suggests the organization maintains the staffing, licensing, and care coordination infrastructure typical of residential therapeutic foster-care providers.

    Given its ~19-year NPI tenure and top-three in-state ranking on the core foster-care per‑diem code, THE BAIR FOUNDATION appears to be an established mid-to-upper-tier player in New Mexico’s therapeutic foster-care market; however, its narrow code footprint and single-payer concentration may limit scalability into other payer segments without deliberate service diversification.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5145Foster care, therapeutic, child; per diem18,520$2,530$46.8M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5145Foster care, therapeutic, child; per diem3108,300$930$10.4M

    Nearby Providers

    Other providers in the same ZIP code as The Bair Foundation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Kare Inc., Of Dona AnaNMHome Health Agency$0$26M
    Progressive Residential Services Of New Mexico, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$20.1M
    La Clinica De Familia, IncorporatedNMFederally Qualified Health Center (FQHC)$0$15.7M
    Angel Care Of New Mexico, Inc.NMDevelopmentally Disabled Services Day Training Agency$0$15.1M
    Darlin Inc Dba Horizon ServicesNMMental Health Counselor$0$12.7M
    Southwest Sport And Spine Center IncNMPhysical Therapist$0$11.7M
    Srirengam Muralidhasan Md LLCNMFamily Medicine Physician$0$7.7M
    The Aristocrat Of Las Cruces, LLCNMAssisted Living Facility$0$7.1M
    Meca, LLCNMRehabilitation Clinic/Center$0$6.9M
    Las Cruces School District No. 2NMLocal Education Agency (LEA)$0$6.6M

    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.

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    Medicaid Revenue by Year vs. New Mexico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    The Bair Foundation — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico