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.

Taos Clinic For Children And Youth (NPI 1154350205)

Taos Clinic For Children And Youth is a pediatrics physician provider located in Taos, New Mexico. This profile covers 0 Medicare and 68 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	Taos Clinic For Children And Youth
Address	1393 Weimer Rd
City	Taos
State	NM
ZIP	87571
Taxonomy	Pediatrics Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

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

68 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…	11,300	$60	$678.2K
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…	4,490	$90	$421.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	10,070	$30	$271.9K
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…	2,590	$100	$261.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,540	$100	$256.3K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	6,580	$40	$243.3K
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…	5,050	$40	$207K
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…	1,600	$100	$166.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,650	$100	$163.3K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	3,920	$20	$78.4K

Showing 1–10 of 68

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

Taos Clinic For Children And Youth — 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	35	140	130	$220	$568.5K
Q3014	Telehealth originating site facility fee	138	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…	108	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…	207	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…	47	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…	27	120	670	$110	$301.2K
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,…	120	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.	19	120	430	$110	$205.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	82	110	630	$60	$175.1K
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…	20	110	610	$40	$148.2K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$11.6M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$7.3M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$3.2M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$1.4M
Koryn Michaud	NM	Primary Care Nurse Practitioner	$35.7K	$0
Rana Russell	NM	Family Nurse Practitioner	$34.8K	$0
Morgan Johnson	NM	Physician Assistant	$1.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taos Health Systems, Inc., Holy Cross Hospital	NM	Critical Access Hospital	$0	$30.9M
Nonviolence Works, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.3M
Gregory & Associates	NM	Case Management Agency	$0	$19.1M
Taos Picuris Health Center	NM	Clinic/Center	$0	$6.6M
Rio Grande Alcoholism Treatment Center Incorporated	NM	Substance Abuse Rehabilitation Facility	$0	$6.4M
Taos Pueblo Division Of Health And Community Services	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Taos Urgent Care, Inc	NM	Urgent Care Clinic/Center	$0	$2.9M
Taos Professional Services,llc	NM	Surgery Physician	$0	$2.5M
Human Resource Development Associates, Inc.	NM	Mental Health Counselor	$0	$2.2M
County Of Taos	NM	Land Ambulance	$308K	$1.9M

Taos Clinic For Children And Youth — Billing Profile & Reimbursement Data

Sign up for Taos Clinic For Children And Youth — Billing Profile & Reimbursement Data policy alerts

Taos Clinic For Children And Youth — Billing Profile & Reimbursement Data

Sign up for Taos Clinic For Children And Youth — 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