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.

Ben Archer Health Center (NPI 1154352532)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ben Archer Health Center
Address	255 Highway 187
City	Hatch
State	NM
ZIP	87937
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$84.2M
Medicare	$0

BEN ARCHER HEALTH CENTER is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $84.2M, indicating its entire reported lifetime public-payer footprint in this dataset is concentrated in Medicaid. The absence of Medicare claims combined with material Medicaid volume suggests the center primarily serves populations covered by state programs rather than Medicare beneficiaries.

Revenue concentration is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes by revenue account for 68.0% of the provider's total Medicaid revenue. This degree of concentration signals that a few high-volume outpatient E/M and behavioral-health codes are the primary drivers of the center’s financials, making operational and payment policy changes affecting those codes especially impactful to the provider.

Primary service mix is ambulatory primary care and integrated behavioral health. The top Medicaid revenue code is 99213 ($37.6M, 45.9% of Medicaid revenue) with secondary contributions from 99212 ($12M, 14.7%) and psychotherapy codes such as 90832 ($6M, 7.4%). Together these codes indicate the health center delivers a high volume of routine established outpatient visits and substantial psychotherapy services, consistent with an FQHC model emphasizing primary care access and behavioral-health integration.

Competitive standing statewide is dominant for several high‑volume codes: the provider ranks in the 100th percentile and is labeled an “extreme outlier” for 99213 (rank #4 of 932) and 99212 (rank #2 of 380), and similarly ranks at the top for preventive and FQHC‑specific codes (e.g., 99396 rank #1 of 72; G0467 rank #1 of 100). These rankings indicate BEN ARCHER HEALTH CENTER is a major Medicaid service volume leader in New Mexico for routine office visits and certain preventive/FQHC encounter types.

The organization is also an unusually large provider of mental-health services within the state: multiple psychotherapy and psychiatric-evaluation codes appear in the top revenue list (90832, 90834, 90833, 90837, 90791, 90792) with several described as “extreme outlier” or “notably above typical” in percentile rank. The presence of both short and longer psychotherapy codes alongside psychiatric evaluation codes suggests a systematic, high-capacity behavioral health program integrated with primary care.

Telehealth and site-of-service billing are meaningful but much smaller revenue contributors: Q3014 (telehealth originating site facility fee) has 27.8K claims and $361.3K revenue and ranks highly in-state, and remote visit codes such as 99441 and 99442 also appear as outliers. This pattern indicates the center uses telehealth at scale as an access modality for its Medicaid population, supplementing in-person office visits.

Tenure and community presence are long-standing: the NPI was enumerated around 2006-07-05 (~20 years ago), indicating the center has had a multi‑decade presence to build the high outpatient and behavioral health volumes observed. That longevity is consistent with the deep Medicaid penetration and high percentile rankings across many codes.

While several preventive-well visit codes (99396, 99395, 99394, 99393, 99392, 99391) appear in the top-25 list and some rank at or near the top for the state, these together represent modest shares individually but collectively support the characterization of the center as providing broad age-range primary care and preventive services. This mix reinforces the FQHC role of comprehensive, longitudinal care across pediatric, adolescent, adult, and middle‑aged populations.

Medicaid: Complete Services Breakdown

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

231 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…	206,450	$180	$37.6M
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,…	70,260	$170	$12M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	33,300	$180	$6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	22,380	$180	$4.1M
D0999	N/A	17,300	$190	$3.3M
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…	19,070	$170	$3.2M
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…	15,740	$110	$1.8M
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…	8,230	$190	$1.6M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,930	$180	$1.3M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	6,270	$200	$1.2M

Showing 1–10 of 231

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

Ben Archer Health Center — 17 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

231 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	4	80	2,250	$190	$987.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	71	80	3,340	$60	$595K
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.	10	140	130	$220	$568.5K
Q3014	Telehealth originating site facility fee	6	180	620	$160	$546.7K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	40	880	$80	$527.4K
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…	4	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…	45	960	1,010	$90	$490K
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…	26	90	570	$80	$392.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	49	50	1,760	$100	$364.2K
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…	21	100	1,100	$110	$362K

Showing 1–10 of 231

Ben Archer Health Center — Billing Profile & Reimbursement Data

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Ben Archer Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$5.2M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.9M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.9M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.2M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.2M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$1.8M
Peter Hayes	NM	Dentist	$0	$1.7M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$1.6M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$1.5M