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.

Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322)

Field	Value
Entity Type	Organization
Organization	Dhhs,phs,naihs, Gallup Indian Medical Center
Address	516 E. Nizhoni Blvd.
City	Gallup
State	NM
ZIP	87301
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $32.6M in lifetime Medicaid revenue, indicating it operates effectively as a single-payer (Medicaid-centric) billing entity in the dataset. The absence of Medicare activity combined with the Medicaid total suggests payer mix and revenue risk are concentrated on Medicaid policy and reimbursement changes.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 75.9% of this provider’s total Medicaid revenue, driven primarily by Q3014 (51.3%), 99214 (20.5%), and 0002A (4.1%). That level of concentration means a small number of service lines are responsible for the vast majority of billed Medicaid dollars.

Q3014 (Telehealth originating site facility fee) is the single largest revenue driver at $16.3M and 51.3% of Medicaid revenue, with 32.4K claims and a $504 avg paid/claim. The provider ranks #2 of 179 in-state for Q3014 and is described as an "extreme outlier," which strongly indicates the facility is being used as an originating site for high-volume telehealth encounters rather than relying on traditional in-person facility fees.

99214 (office/outpatient established patient E/M) is the second-largest driver with 65.9K claims, $99 avg paid/claim, and $6.5M revenue (20.5% of Medicaid revenue); the code ranks #12 of 963 in-state and sits in the 99th percentile. This combination of very high claim volume and a top percentile rank shows a substantial ambulatory visit footprint—consistent with heavy outpatient clinic throughput or longitudinal primary/specialty care activity.

Although 0002A is the third-ranked Medicaid code by revenue ($1.3M, 2.6K claims, 4.1% of Medicaid revenue), it is characterized in the source as a typical, unremarkable volume despite a high 96th-percentile rank (#4 of 68). Several other A-series codes (for example, 0054A: 1.1K claims, $566K revenue, rank #2 of 18, 94th percentile; 0064A: 953 claims, $477.5K revenue, rank #3 of 43, 95th percentile; 0072A: 846 claims, $472.1K revenue, rank #3 of 60, 97th percentile) also appear with notably above-typical state volume, suggesting meaningful activity in a set of ancillary or procedure-related services billed under A-designated codes.

The presence of inpatient E/M codes such as 99233 (2.8K claims, $66 avg paid/claim, $183.5K revenue, 0.6% of Medicaid revenue, rank #22 of 93, 77th percentile) and 99223 (594 claims, $143 avg, $84.9K revenue, 0.3% of Medicaid revenue, rank #21 of 89) indicates the provider maintains inpatient/observation capability, but those services contribute only a small share of overall Medicaid revenue relative to telehealth and outpatient E/M. In short, inpatient care exists but is not a primary Medicaid revenue driver for this entity.

Q3014’s status as an extreme outlier and 99214’s placement in the 99th percentile make this provider a dominant in-state performer for telehealth-originating-site fees and a major high-volume outpatient E/M participant statewide. The competitive profile is therefore one of market leadership in telehealth-originating-site billing and unusually high ambulatory visit volume, rather than broad-based dominance across traditional hospital outpatient and inpatient codes.

The provider’s NPI was enumerated on 2006-02-15 (approximately 20 years ago), indicating a long tenure in the Medicare/Medicaid landscape. Combined with the concentrated Medicaid revenue mix, this tenure suggests established operations but also exposure: any shifts in Medicaid telehealth reimbursement or E/M coding policy could materially affect overall revenue given the reliance on Q3014 and 99214.

Medicaid: Complete Services Breakdown

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q3014	Telehealth originating site facility fee	32,410	$500	$16.3M
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…	65,870	$100	$6.5M
0002A	N/A	2,600	$510	$1.3M
0001A	N/A	2,370	$500	$1.2M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,610	$520	$842K
0124A	N/A	1,300	$480	$622.6K
99442	N/A	1,520	$390	$594K
0054A	N/A	1,070	$530	$566K
0004A	N/A	980	$510	$495.8K
0064A	N/A	950	$500	$477.5K

Showing 1–10 of 90

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

Dhhs,phs,naihs, Gallup Indian Medical Center — 7 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

90 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.	73	80	12,050	$160	$3.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	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.	63	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.	52	60	3,070	$210	$1.4M
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.	51	60	2,820	$110	$799.5K
Q3014	Telehealth originating site facility fee	2	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…	205	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…	12	960	1,010	$90	$490K
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.	52	60	1,990	$90	$406.6K
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…	22	90	570	$80	$392.6K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dhhs,phs,naihs, Gallup Indian Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dhhs, Phs, Naihs, Gallup Indian Medical Center	NM	Federal Public Health Clinic/Center	$0	$2.5M

Nearby Providers

Other providers in the same ZIP code as Dhhs,phs,naihs, Gallup Indian Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ramah Care Services, Inc.	NM	Assisted Living Facility	$0	$33.4M
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
Zhon Home Care Corporation	NM	In Home Supportive Care Agency	$0	$8.7M

Dhhs,phs,naihs, Gallup Indian Medical Center — Billing Profile & Reimbursement Data

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Dhhs,phs,naihs, Gallup Indian Medical 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