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.

San Miguel Clinic Corp (NPI 1114920717)

San Miguel Clinic Corp is a family medicine physician provider located in Las Vegas, New Mexico. This profile covers 0 Medicare and 66 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	San Miguel Clinic Corp
Address	108 Legion Dr Ste A
City	Las Vegas
State	NM
ZIP	87701
Taxonomy	Family Medicine Physician
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

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

66 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…	13,780	$60	$799K
99392	Preventive 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…	2,310	$100	$228.8K
99391	Preventive 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…	2,050	$100	$206.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	930	$90	$87.8K
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…	1,360	$60	$85.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	3,820	$20	$72.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	5,250	$10	$68.2K
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…	810	$80	$61.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	350	$90	$33.1K
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…	280	$100	$27.2K

Showing 1–10 of 66

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

San Miguel Clinic Corp — 1 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	89	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…	414	960	1,010	$90	$490K
99391	Preventive 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…	37	100	1,100	$110	$362K
99392	Preventive 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…	33	120	670	$110	$301.2K
99232	The 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…	80	120	430	$50	$279.7K
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,…	191	380	220	$160	$273.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	43	120	430	$110	$205.4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	55	110	610	$40	$148.2K
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…	251	320	220	$110	$146.2K
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…	100	360	220	$90	$134.7K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ayodele Erinle	NM	Emergency Medicine Physician	$303K	$0
Mehul Daulat	NM	Internal Medicine Physician	$213.3K	$0
Elchin Zeynalov	NM	Internal Medicine Physician	$78.6K	$0
Michael Gurule	NM	Cardiovascular Disease Physician	$71.2K	$0
Franklin Miller	NM	Internal Medicine Physician	$42.5K	$12.8K
Ryan Villegas	WY	Internal Medicine Physician	$51.5K	$0
Joseph Brown	VA	Gastroenterology Physician	$31.1K	$0
Mario Leyba	NM	Surgery Physician	$25.5K	$0
Elizabeth Donaldson	NM	Family Nurse Practitioner	$13K	$0
James Gonzales	NM	Family Medicine Physician	$1.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Care, LLC.	NM	In Home Supportive Care Agency	$0	$52.8M
Victory Personal Care Inc.	NM	Home Health Agency	$0	$26.9M
Direct Healthcare	NM	In Home Supportive Care Agency	$0	$15.2M
Heritage Healthcare Of Northern New Mexico, Inc.	NM	Home Health Agency	$0	$14.8M
An Angels Touch LLC	NM	In Home Supportive Care Agency	$0	$13.4M
San Miguel Hospital Corporation	NM	General Acute Care Hospital	$0	$13.2M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$7.3M
Rainbow Road Therapies, Inc.	NM	Developmentally Disabled Services Day Training Agency	$0	$6.5M
State Of New Mexico	NM	Nursing Facility/Intermediate Care Facility	$0	$4.2M
Summit Emergency Medicine LLC	NM	Emergency Medicine Physician	$0	$3.1M

San Miguel Clinic Corp — Billing Profile & Reimbursement Data

Sign up for San Miguel Clinic Corp — Billing Profile & Reimbursement Data policy alerts

San Miguel Clinic Corp — Billing Profile & Reimbursement Data

Sign up for San Miguel Clinic Corp — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References