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 Physician Services LLC (NPI 1215079678)

Key Findings

Field	Value
Entity Type	Organization
Organization	Las Cruces Physician Services LLC
Address	4351 E Lohman Ave
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$62.9M
Medicare	$0

LAS CRUCES PHYSICIAN SERVICES LLC is effectively a Medicaid-focused practice with no Medicare billing on file; total Medicaid revenue is $62.9M and Medicare revenue is reported as none, indicating the provider operates almost exclusively within Medicaid payer lines rather than a mixed Medicare/Medicaid panel. The NPI was enumerated on 2007-02-13 (~19 years ago), showing long-standing participation in the payer system which supports sustained Medicaid volume over time.

Revenue concentration is heavily focused in a small number of evaluation-and-management codes: 99213, 99214, and 99203 together account for 65.7% of the provider’s total Medicaid revenue, signaling that routine and problem-focused office visits are the dominant revenue drivers for the practice. This top-three concentration implies a service-line oriented around high-volume ambulatory E/M care rather than procedural or surgical revenue streams.

99213 alone generated $22.3M (39.1% of Medicaid revenue) with 364.9K claims and ranks #2 of 932 providers in-state; this provider is an extreme outlier and operates at far higher state volume for routine established-patient visits than typical peers. The high absolute claim count and rank for 99213 suggest the practice functions as a major site for ongoing outpatient management and follow-up in the local Medicaid population.

99214 ($12.4M; 21.7% of Medicaid revenue) and 99203 ($2.8M; 4.9% of Medicaid revenue) are also extreme outliers in-state, ranking #3 and #2 respectively, which together with 99213 indicates both higher-acuity established visits and substantial new-patient visit flow. The mix of 99214 and 99203 volumes points to a practice that manages both moderate-complexity follow-ups and a steady intake of new patients, likely supporting continuous care pathways rather than episodic procedures.

Beyond core E/M codes, the provider shows notably above-typical volumes for preventive and pediatric well visits (99391, 99392, 99393, 99395) and for vaccine administration (90460/90461/90471), indicating an integrated ambulatory service offering that includes routine preventive care and immunizations for children and adults. Several of these preventive codes rank in high percentiles (98–100th) statewide, suggesting the practice captures substantial primary/preventive care demand in its market in addition to E/M visits.

The practice also records unusually high volumes for certain point-of-care tests and screening services—87880 (strep test) ranks #2 of 210 providers (100th percentile) and 87804 (influenza test) ranks #3 of 185 providers (99th percentile)—reflecting a high throughput of acute respiratory and outpatient diagnostic testing. These testing volumes, paired with large numbers of office visits, imply a high-access, clinic-style operation handling both routine and acute ambulatory needs.

Service mix includes obstetric/ultrasound activity (76819, 76820, 76816, 76801) and global maternity services (59400) at levels described as typical to notably above typical for the state; while not the top revenue drivers, these codes indicate the practice also provides prenatal imaging and some delivery-related services, making its portfolio broader than pure orthopedic surgical specialty coding would suggest. This could reflect multi-specialty staffing or affiliation within the practice footprint.

Competitive standing in New Mexico is dominant for multiple high-frequency Medicaid codes: numerous codes are labeled extreme outlier or 100th percentile statewide (for example 99213, 99214, 87880, 99395, S9999), which establishes the provider as a major Medicaid-volume player in the state market for ambulatory E/M, testing, and preventive services. The combination of long tenure (~19 years) and top statewide ranks supports a conclusion that LAS CRUCES PHYSICIAN SERVICES LLC is a primary access point for Medicaid beneficiaries in its region.

Medicaid: Complete Services Breakdown

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

304 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…	364,910	$60	$22.3M
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…	145,360	$90	$12.4M
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…	34,390	$80	$2.8M
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…	26,100	$100	$2.6M
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…	19,900	$110	$2.1M
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…	10,800	$130	$1.4M
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.	10,940	$120	$1.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,040	$110	$1.3M
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.	26,990	$40	$1.1M
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	10,240	$100	$1M

Showing 1–10 of 304

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 Physician Services LLC — 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

304 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	5	10	80	$130	$1.8M
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.	36	60	3,070	$210	$1.4M
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	6	20	2,780	$90	$1.3M
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.	43	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.	7	30	380	$100	$796.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	16	20	1,230	$230	$753.6K
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.	74	140	130	$220	$568.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	5	20	750	$90	$524.9K
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…	2	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…	3	960	1,010	$90	$490K

Showing 1–10 of 304

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Figlesthaler	FL	Urology Physician	$904.3K	$0
Paul Butros	VA	Diagnostic Radiology Physician	$844.4K	$0
Sandeep Rao	AZ	Vascular & Interventional Radiology Physician	$634.9K	$0
David August	AZ	Diagnostic Radiology Physician	$430.2K	$0
Leroy Jones	TX	Urology Physician	$424.4K	$0
Mandeep Dhami	CT	Hematology & Oncology Physician	$331.4K	$0
Sreechandra Donepudi	AZ	Diagnostic Radiology Physician	$273.4K	$52.6K
Umang Shah	FL	Interventional Cardiology Physician	$306.4K	$0
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0
Stefan Franciosa	FL	Vascular & Interventional Radiology Physician	$266K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Shadows Home Care Services, Inc	NM	Home Health Agency	$0	$92.9M
Las Cruces Medical Center LLC	NM	General Acute Care Hospital	$0	$86.8M
Addus Healthcare, Inc.	NM	In Home Supportive Care Agency	$0	$81.1M
Phc-las Cruces Inc	NM	General Acute Care Hospital	$0	$64.8M
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 Physician Services LLC — Billing Profile & Reimbursement Data

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Las Cruces Physician Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References