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.

Roosevelt County Special Hospital District (NPI 1316013402)

Roosevelt County Special Hospital District is a rural health clinic/center provider located in Portales, New Mexico. This profile covers 0 Medicare and 105 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Roosevelt County Special Hospital District
Address	42121 Us Hwy 70
City	Portales
State	NM
ZIP	88130
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	110,750	$230	$25M
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…	42,640	$20	$980.7K
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…	41,310	$20	$908.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	26,340	$10	$131.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,360	$30	$114.2K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	3,890	$20	$89.4K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	2,410	$30	$62.7K
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…	2,270	$30	$58.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1,850	$20	$36.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	1,550	$20	$28K

Showing 1–10 of 105

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

Roosevelt County Special Hospital District — 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

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	20	6,090	$180	$7.2M
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…	25	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…	20	960	1,010	$90	$490K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	40	40	4,330	$50	$369K
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.	50	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…	83	100	1,100	$110	$362K
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…	65	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,…	136	380	220	$160	$273.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	63	120	430	$110	$205.4K
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…	102	110	630	$60	$175.1K

Showing 1–10 of 105

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roosevelt County Special Hospital District	NM	General Acute Care Hospital	$0	$13.3M
Roosevelt County Special Hospital District	NM	Rural Health Clinic/Center	$0	$3.4M
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Peter Piampiano	TN	Diagnostic Radiology Physician	$254.4K	$20.1K
Naveen Selvam	PA	Diagnostic Radiology Physician	$190.6K	$80
Mohammad Hassan	NM	Cardiovascular Disease Physician	$181K	$0
Bhaskar Sahay	NM	General Practice Physician	$115.9K	$0
Amit Sanghi	SC	Diagnostic Radiology Physician	$99.2K	$940
Carol Marquez	NM	Emergency Medicine Physician	$80.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Casa De Buena Salud Inc.	NM	Federally Qualified Health Center (FQHC)	$0	$19.4M
Courageous Outcomes Therapies, LLC	NM	Physical Therapist	$0	$2.3M
Regional Educational Center #6	NM	Local Education Agency (LEA)	$0	$2.2M
Mental Health Resources, Inc.	NM	Mental Health Counselor	$0	$1.8M
City Of Portales	NM	Land Ambulance	$235K	$1.4M
Be Well Counseling Services, PC	NM	Community/Behavioral Health Agency	$0	$1.6M
Med-trans Corporation	NM	Air Ambulance	$118.1K	$274.8K
Leslie Donaldson	NM	Internal Medicine Physician	$96K	$0
Joel Sievers	NM	Family Medicine Physician	$60K	$0
Krishna Lingala	NM	Physical Medicine & Rehabilitation Physician	$41.9K	$0

Roosevelt County Special Hospital District — Billing Profile & Reimbursement Data

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Roosevelt County Special Hospital District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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