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.

Artesia General Hospital (NPI 1437296522)

Artesia General Hospital is a rural health clinic/center provider located in Artesia, New Mexico. This profile covers 0 Medicare and 37 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	Artesia General Hospital
Address	702 N 13th St
City	Artesia
State	NM
ZIP	88210
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

37 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…	25,340	$120	$3.1M
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…	7,750	$120	$938K
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,…	2,100	$120	$251.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,670	$60	$205.4K
Q3014	Telehealth originating site facility fee	490	$60	$27.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,580	$10	$21.5K
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…	930	$20	$16.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	100	$150	$14.5K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	240	$50	$11K
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…	890	$10	$7.1K

Showing 1–10 of 37

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

Artesia General Hospital — 1 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q3014	Telehealth originating site facility fee	99	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…	42	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…	134	960	1,010	$90	$490K
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,…	56	380	220	$160	$273.9K
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…	324	380	400	$80	$213.5K
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…	278	360	220	$90	$134.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	114	140	170	$120	$114.6K
0002A	N/A	65	70	130	$190	$107.2K
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.	13	20	160	$20	$105.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	48	70	170	$30	$97.7K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Artesia General Hospital	NM	General Acute Care Hospital	$0	$10.2M
Artesia General Hospital	NM	Surgery Physician	$0	$3.3M
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Alexander Lorusso	NM	Diagnostic Radiology Physician	$297.5K	$0
Margaret Chaffey	NM	Diagnostic Radiology Physician	$242K	$0
Brigid Gerety	NM	Diagnostic Radiology Physician	$240.7K	$0
Jeremy Fullingim	OK	Diagnostic Radiology Physician	$220.1K	$0
Michael Speck	NM	Urology Physician	$198.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trans Aero Limited	NM	Air Ambulance	$3.5M	$11.8M
J&j Home Care, Inc.	NM	Home Health Agency	$0	$14.1M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$7.4M
Lending Hands, Inc.	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$4.4M
City Of Artesia	NM	Land Ambulance	$175.3K	$715.7K
Zhinian Wan	NM	Orthopaedic Surgery Physician	$127.7K	$0
Luther Weathers	NM	Cardiovascular Disease Physician	$114.4K	$0
Liliana Labady	NM	Physical Therapist	$96.1K	$0
Jennifer Tupper	NM	Acute Care Nurse Practitioner	$90.5K	$0
Michael Butterfield	NM	Emergency Medicine Physician	$70.1K	$0

Artesia General Hospital — 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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