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.

Las Cruces Medical Center LLC (NPI 1205882503)

Key Findings

Field	Value
Entity Type	Organization
Organization	Las Cruces Medical Center LLC
Address	4311 E Lohman Ave
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$86.8M
Medicare	$0

This provider is effectively a Medicaid-focused hospital in the claims dataset: there is no Medicare billing on file and total Medicaid revenue is $86.8M. That absence of Medicare activity means payer risk and revenue performance for LAS CRUCES MEDICAL CENTER LLC will be driven almost entirely by Medicaid reimbursement and state-level policy and utilization trends rather than by Medicare mix.

Revenue is highly concentrated in three visit-oriented codes: G0463, 99283 and 99284 together account for 52.5% of the provider’s Medicaid revenue. Specifically, G0463 contributes $13.8M (21.2%), 99283 contributes $10.7M (16.5%), and 99284 contributes $9.7M (14.8%), indicating that outpatient clinic and emergency-department visits drive the majority of dollars.

The code mix points to a hospital operation with heavy emergency-department and hospital outpatient clinic throughput: the top revenue drivers are G0463 (hospital outpatient clinic visit) and ED E/M codes 99283 and 99284, and the profile is supported by sizable observation (G0378) and imaging (74177, 70450) line items. This pattern is consistent with a facility that generates inpatient and ancillary volume through urgent and emergency care rather than elective procedural specialties.

Competitive standing by code shows both high-volume leadership and typical participation: G0463 ranks #3 of 38 providers in-state at the 95th percentile and is described as "typical, unremarkable" for volume, while 99283 ranks #5 of 84 at the 95th percentile and is labeled "notably above typical"—together these suggest the hospital is a major regional provider of ED/outpatient evaluation services. 99284 is also a meaningful contributor (rank #10 of 76; 88th percentile) and supports the view of strong ED activity relative to peers.

The provider is an extreme outlier in several high-frequency diagnostic test codes that reflect centralized testing operations or very high outpatient throughput: 87430 (strep antigen), 87400 (influenza antigen), 87426 (SARS–CoV–2 antigen) and 99281 (lowest-level ED visit) each rank #1 in-state at the 100th percentile and are explicitly labeled "extreme outlier, far above typical state volume." These outsized lab/test volumes likely amplify throughput-driven revenue and operational demands on ED and outpatient services.

Ancillary diagnostic and monitoring services show consistently elevated volumes: comprehensive metabolic panel 80053 (109K claims, $2M; 96th percentile, "notably above typical"), complete blood count 85025 (106.8K claims, $961.1K; 96th percentile, "notably above typical"), and EKG 93005 (18.7K claims, $1.2M; ~82nd percentile) all rank well versus in-state peers. This mix reinforces a high-throughput, diagnostics-heavy operating profile where laboratory and basic imaging contribute materially to Medicaid revenue.

The facility has a long NPI tenure, enumerated on 2006-05-26 (~20 years ago), indicating an established market presence in Las Cruces. That longevity combined with the provider’s code-level rankings suggests entrenched operational patterns (ED-focused volume and centralized testing) that are likely meaningful to payers and network planners negotiating Medicaid arrangements.

Because Medicaid accounts for the entirety of recorded federal-payor revenue and over half of that Medicaid revenue is concentrated in three visit codes, payer negotiations, state Medicaid policy changes, or shifts in ED utilization or infectious-disease testing patterns could materially affect this provider’s financial performance. Analysts should treat Medicaid policy and utilization trends as the primary levers of financial and operational risk for this hospital.

Medicaid: Complete Services Breakdown

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

407 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	149,730	$90	$13.8M
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.	71,360	$150	$10.7M
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.	49,010	$200	$9.7M
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.	11,730	$430	$5M
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.	11,470	$250	$2.8M
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.	10,240	$220	$2.3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	109,040	$20	$2M
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.	18,110	$100	$1.8M
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	82,620	$20	$1.7M
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	63,600	$20	$1.5M

Showing 1–10 of 407

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

Las Cruces Medical Center LLC — 8 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

407 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.	10	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.	24	70	6,920	$210	$3.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	40	3,670	$80	$3.2M
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.	5	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.	7	60	3,070	$210	$1.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4	10	290	$320	$1.3M
G0378	Hospital observation service, per hour	6	40	1,000	$400	$1M
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.	8	60	2,820	$110	$799.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	15	30	380	$100	$796.5K
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…	9	50	7,300	$60	$737.6K

Showing 1–10 of 407

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Shadows Home Care Services, Inc	NM	Home Health Agency	$0	$92.9M
Addus Healthcare, Inc.	NM	In Home Supportive Care Agency	$0	$81.1M
Phc-las Cruces Inc	NM	General Acute Care Hospital	$0	$64.8M
Las Cruces Physician Services LLC	NM	Orthopaedic Surgery Physician	$0	$62.9M
Multicultural Evaluation & Consultation Associates LLC	NM	Early Intervention Provider Agency	$0	$59.3M
Quality Life Services, LLC	NM	Specialist	$0	$44.9M
Las Cruces Physician Practices, LLC	NM	Family Medicine Physician	$0	$22.8M
Southwest Emergency Medical Associates Of Nm PC	NM	Emergency Medicine Physician	$0	$20.3M
Milagro De Vida Community Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.2M
Joseph B. Furlong, P.A.	NM	Specialist	$0	$14.4M

Las Cruces Medical Center LLC — Billing Profile & Reimbursement Data

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Las Cruces Medical Center LLC — 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

Nearby Providers

Frequently Asked Questions

References