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.

Artesia General Hospital (NPI 1114076825)

Artesia General Hospital is a surgery physician provider located in Artesia, New Mexico. This profile covers 0 Medicare and 50 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	Artesia General Hospital
Address	612 N 13th St
City	Artesia
State	NM
ZIP	88210
Taxonomy	Surgery Physician
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

50 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…	15,500	$50	$774.8K
99283	The 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.	10,620	$60	$615.8K
99284	The 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.	5,850	$90	$544.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10,940	$40	$426.6K
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…	4,220	$80	$320.9K
99285	The 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.	1,230	$120	$143.4K
99203	The provider sees a new 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 provider…	1,330	$70	$94.1K
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,…	3,220	$20	$77.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,130	$40	$46.4K
99204	The provider sees a new 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 provider…	360	$110	$40.1K

Showing 1–10 of 50

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

Artesia General Hospital — 0 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The 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.	46	80	12,050	$160	$3.9M
99285	The 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.	56	70	6,920	$210	$3.5M
99283	The 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.	43	80	10,650	$130	$2.4M
74177	The 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.	48	60	3,070	$210	$1.4M
70450	The 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.	46	60	2,820	$110	$799.5K
93005	The 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…	44	50	7,300	$60	$737.6K
Q3014	Telehealth originating site facility fee	126	180	620	$160	$546.7K
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…	73	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…	219	960	1,010	$90	$490K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	45	50	1,000	$180	$407.7K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Artesia General Hospital	NM	General Acute Care Hospital	$0	$10.2M
Artesia General Hospital	NM	Rural Health Clinic/Center	$0	$4.7M
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Alexander Lorusso	NM	Diagnostic Radiology Physician	$297.5K	$0
Margaret Chaffey	NM	Diagnostic Radiology Physician	$242K	$0
Brigid Gerety	NM	Diagnostic Radiology Physician	$240.7K	$0
Jeremy Fullingim	OK	Diagnostic Radiology Physician	$220.1K	$0
Michael Speck	NM	Urology Physician	$198.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trans Aero Limited	NM	Air Ambulance	$3.5M	$11.8M
J&j Home Care, Inc.	NM	Home Health Agency	$0	$14.1M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$7.4M
Lending Hands, Inc.	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$4.4M
City Of Artesia	NM	Land Ambulance	$175.3K	$715.7K
Zhinian Wan	NM	Orthopaedic Surgery Physician	$127.7K	$0
Luther Weathers	NM	Cardiovascular Disease Physician	$114.4K	$0
Liliana Labady	NM	Physical Therapist	$96.1K	$0
Jennifer Tupper	NM	Acute Care Nurse Practitioner	$90.5K	$0
Michael Butterfield	NM	Emergency Medicine Physician	$70.1K	$0

Artesia General Hospital — Billing Profile & Reimbursement Data

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Artesia General Hospital — 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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