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.

Hidalgo Medical Services (NPI 1306843180)

Field	Value
Entity Type	Organization
Organization	Hidalgo Medical Services
Address	530 De Moss St
City	Lordsburg
State	NM
ZIP	88045
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$40.2M
Medicare	$0

Key Findings

HIDALGO MEDICAL SERVICES is effectively a Medicaid-focused FQHC with $40.2M in reported Medicaid revenue and no Medicare billing on file; its NPI was enumerated on 2005-07-07 (~21 years ago), indicating a long-established provider presence. The absence of Medicare billing makes the organization effectively single-payer (Medicaid) in the datasets available for analysis.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 60.5% of the provider's total Medicaid revenue, driven by 99213 ($10.7M, 26.9%), 99214 ($7.8M, 19.6%), and Q3014 ($5.5M, 13.9%). This concentration shows the majority of billing and cash flow is tied to a small set of primary care and telehealth-originating services.

The code mix points to a primary-care–centered operation with integrated behavioral health and community services: heavy volumes of 99213 and 99214 reflect routine established outpatient visits, while meaningful revenue from psychotherapy and psychiatric evaluation codes (90834 $2.5M, 6.3%; 90837 $1.9M, 4.9%; 90791 $384.1K, 1.0%) and community support H2015 ($1.4M, 3.5%) indicate on-site behavioral health services are a material part of the service line. These patterns are consistent with FQHC models that combine primary care, preventive care, and behavioral health under one roof.

Telehealth is an outsized component of the billing mix: Q3014 (telehealth originating site facility fee) contributes $5.5M (13.9%) and is described as an "extreme outlier, far above typical state volume for this code," ranking #5 of 179 providers in-state at the 98th percentile. This suggests the organization functions frequently as an originating site for telehealth encounters and would be particularly sensitive to policy or reimbursement changes affecting Q3014.

On competitive standing within New Mexico, HIDALGO shows a strong statewide presence for core primary care codes: 99213 ranks #19 of 932 providers in-state (98th percentile) and 99214 ranks #24 of 963 (98th percentile), with accompanying notes of being "notably above typical state volume" for 99213. Those high rank/percentile positions indicate the FQHC is a major Medicaid outpatient care provider in the state for established-patient visits.

Behavioral-health and related support services appear robust relative to peers: 90834 ranks #13 of 380 providers in-state (97th percentile), 90837 ranks #82 of 923 (91st percentile), H2015 ranks #38 of 123 (70th percentile), and H0038 ranks #19 of 54 (66th percentile). While many of these are labeled "typical, unremarkable volume," the clustering of multiple mental-health codes at high percentiles supports the conclusion that behavioral health is an important and active component of the clinic's Medicaid business.

Preventive and pediatric services are present and nontrivial: 99392 ($606K, 1.5%), 99394 ($551.5K, 1.4%), and 99393 ($507.3K, 1.3%) show the organization bills for well-child and adolescent visits and ranks in the mid-to-high percentiles statewide (e.g., 99394 ranks #13 of 140, 91st percentile). This underscores an operational mix that combines routine preventive care with high-volume established-patient visits and behavioral health.

Because 60.5% of Medicaid revenue is concentrated in three codes (99213, 99214, Q3014), the provider's financial performance is operationally sensitive to changes in E&M visit volume, telehealth originating-site utilization, or Medicaid reimbursement for those specific services; payers and contracting teams should treat those service lines as the primary levers for revenue impact or negotiation.

Medicaid: Complete Services Breakdown

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

140 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…	49,590	$220	$10.7M
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…	36,410	$210	$7.8M
Q3014	Telehealth originating site facility fee	27,820	$200	$5.5M
D0999	N/A	14,790	$230	$3.4M
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…	11,440	$220	$2.5M
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…	8,540	$230	$1.9M
H2015	Comprehensive community support services, per 15 minutes	8,190	$170	$1.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,090	$230	$924.3K
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…	3,610	$220	$793.8K
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…	2,740	$220	$606K

Showing 1–10 of 140

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

Hidalgo Medical Services — 4 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

140 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	38	120	2,640	$150	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	30	30	3,760	$140	$1.1M
D0999	N/A	7	80	2,250	$190	$987.3K
Q3014	Telehealth originating site facility fee	5	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…	19	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…	24	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…	36	100	1,100	$110	$362K
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…	82	920	860	$120	$361.9K
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…	26	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,…	68	380	220	$160	$273.9K

Showing 1–10 of 140

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hidalgo Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hidalgo Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$1.9M
Pedro Armendariz	NM	Family Medicine Physician	$88.5K	$0
Donald Stinar	NM	Sleep Medicine (Internal Medicine) Physician	$86.4K	$0
Jennifer Sabatier	NM	General Practice Physician	$57.3K	$19.8K
Julie Fitzgerald	CA	Medical Physician Assistant	$54.7K	$0
Tonya Chambers	AR	Psychiatric/Mental Health Nurse Practitioner	$23.6K	$0
Dara Foster	NM	Family Nurse Practitioner	$350	$0

Hidalgo Medical Services — Billing Profile & Reimbursement Data

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Hidalgo Medical Services — 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

Frequently Asked Questions

References