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.

High Desert Nephrology Associates PLLC (NPI 1144482860)

High Desert Nephrology Associates PLLC is a nephrology physician provider located in Gallup, New Mexico. This profile covers 0 Medicare and 25 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	High Desert Nephrology Associates PLLC
Address	1551 S Second St
City	Gallup
State	NM
ZIP	87301
Taxonomy	Nephrology Physician
NPI Enumerated	June 25, 2008

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	16,570	$70	$1.1M
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…	2,630	$50	$126.1K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	1,850	$60	$116.2K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	360	$210	$76.6K
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…	670	$20	$16.1K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	1,200	$10	$13.2K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	380	$30	$11.1K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	110	$70	$7.9K
99442	N/A	110	$50	$6K
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…	100	$40	$3.8K

Showing 1–10 of 25

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

High Desert Nephrology Associates PLLC — 0 of 21 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	2	10	1,060	$610	$646.2K
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…	753	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…	292	960	1,010	$90	$490K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	38	40	7,150	$40	$485.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	45	50	4,450	$50	$422.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	84	90	570	$80	$392.6K
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…	53	120	430	$50	$279.7K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	2	20	560	$60	$262.9K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	7	10	1,790	$70	$208.5K
99223	The 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…	63	90	180	$140	$152.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Chinedu Nweke	GA	Nephrology Physician	$575K	$0
Ayodele Erinle	NM	Emergency Medicine Physician	$303K	$0
Oladipo Adeniyi	NM	Nephrology Physician	$290.6K	$0
Rakesh Patel	NM	Nephrology Physician	$258.5K	$0
Sushil Deshmukh	WA	Nephrology Physician	$150.8K	$0
Jose Henao	NM	Nephrology Physician	$74.9K	$0
Alan Philips	NM	Physician Assistant	$60.8K	$0
David Agyapong	NM	Internal Medicine Physician	$54.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramah Care Services, Inc.	NM	Assisted Living Facility	$0	$33.4M
Dhhs,phs,naihs, Gallup Indian Medical Center	NM	General Acute Care Hospital	$0	$32.6M
Rehoboth Mckinley Christian Health Care Services, Inc.	NM	Critical Access Hospital	$0	$31.9M
Red Rocks Dialysis, LLC	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$17M
Native Resource Development Company Inc.	NM	In Home Supportive Care Agency	$0	$14.7M
Guardian Flight LLC	NM	Air Ambulance	$2.1M	$11M
Special Care At Home, Inc	NM	In Home Supportive Care Agency	$0	$11M
Tohatchi Area Of Opportunity & Services	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.3M
Jjdac, LLC	NM	Land Ambulance	$544.5K	$9.6M
Rehoboth Mckinley Christian Health Care Services, Inc	NM	Rural Health Clinic/Center	$0	$9.9M

High Desert Nephrology Associates PLLC — Billing Profile & Reimbursement Data

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High Desert Nephrology Associates PLLC — 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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