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.

Nor-lea Hospital District (NPI 1457393829)

Nor-lea Hospital District is a rural health clinic/center provider located in Lovington, New Mexico. This profile covers 0 Medicare and 85 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	Nor-lea Hospital District
Address	1600 North Main
City	Lovington
State	NM
ZIP	88260
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,440	$150	$7.8M
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…	31,020	$150	$4.7M
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,…	8,630	$140	$1.2M
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…	3,460	$180	$613.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	11,500	$50	$517.6K
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…	2,940	$160	$482.3K
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.	10,530	$30	$358.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,700	$180	$310.9K
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…	2,100	$150	$308.6K
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…	6,600	$30	$217.8K

Showing 1–10 of 85

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

Nor-lea Hospital District — 6 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	41	50	7,300	$60	$737.6K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	3	10	230	$350	$630.3K
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.	111	140	130	$220	$568.5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	34	40	880	$80	$527.4K
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…	34	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…	19	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…	29	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…	285	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…	21	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,…	15	380	220	$160	$273.9K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nor-lea Hospital District	NM	Critical Access Hospital	$0	$53.2M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$6.8M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$2M
Kourosh Naeini	CA	Diagnostic Radiology Physician	$709.1K	$120
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
Michael Benanti	IL	Diagnostic Radiology Physician	$469.7K	$460
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Jose Ramirez	NM	Interventional Pain Medicine Physician	$403.1K	$1.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Lovington	NM	Ambulance	$333.2K	$1.3M
Med-trans Corporation	NM	Air Ambulance	$704.1K	$484.2K
Neil Berry	NM	Family Medicine Physician	$69.7K	$0
Donnie Croley	NM	Certified Registered Nurse Anesthetist	$14K	$0
Benjamin Montgomery	NM	Urology Physician	$13.3K	$0
Lenard Wagner	NM	Geriatric Medicine (Family Medicine) Physician	$4.2K	$0
Nowell Pharmacy LLC	NM	Community/Retail Pharmacy	$2.8K	$0

Nor-lea Hospital District — Billing Profile & Reimbursement Data

Sign up for Nor-lea Hospital District — Billing Profile & Reimbursement Data policy alerts

Nor-lea Hospital District — Billing Profile & Reimbursement Data

Sign up for Nor-lea Hospital District — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References