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.

San Juan Regional Medical Center Inc (NPI 1518932151)

Field	Value
Entity Type	Organization
Organization	San Juan Regional Medical Center Inc
Address	801 W Maple St
City	Farmington
State	NM
ZIP	87401
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicaid	$23.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	108,710	$100	$11M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	64,990	$140	$9M
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.	58,100	$60	$3.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,320	$130	$290K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	37,830	$10	$227K
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.	270	$30	$7.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	470	$1	$940
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	490	$1	$490
A0425	Ground mileage, per statute mile	110	$1	$220
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	90	$0	$0

Showing 1–10 of 12

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

San Juan Regional Medical Center Inc — 2 of 9 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

12 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.	4	80	12,050	$160	$3.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5	70	6,920	$210	$3.5M
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.	6	80	10,650	$130	$2.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	36	50	1,320	$270	$2M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	38	60	1,850	$260	$1.2M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	20	30	1,050	$120	$515.6K
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.	46	60	1,990	$90	$406.6K
A0425	Ground mileage, per statute mile	60	70	2,010	$50	$332.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8	50	210	$150	$326.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4	70	1,940	$10	$68.7K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with San Juan Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Regional Medical Center, Inc.	NM	General Acute Care Hospital	$0	$141.5M
San Juan Regional Medical Center Inc	NM	Pediatrics Physician	$0	$15.7M
San Juan Regional Medical Center Inc	NM	Family Medicine Physician	$0	$7.9M
Orthopedic Associates PA	NM	Orthopaedic Surgery Physician	$0	$4.4M
San Juan Regional Medical Center Inc	NM	Hospitalist Physician	$0	$3.6M
San Juan Regional Medical Center Inc	NM	Neurology Physician	$0	$2.5M
San Juan Regional Medical Center Inc	NM	Internal Medicine Physician	$0	$1.5M
Clayton Labaume	CO	Surgical Physician Assistant	$1.4M	$0
San Juan Regional Medical Center Inc	NM	Psychiatry Physician	$0	$1.4M
Graeme Fisher	IL	Therapeutic Radiology Physician	$658K	$0

Nearby Providers

Other providers in the same ZIP code as San Juan Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Basin Coordinated Healthcare,inc	NM	Personal Care Attendant	$0	$79.7M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$41.2M
Links Ii Inc	NM	In Home Supportive Care Agency	$0	$38.9M
Generations Personal Care, Inc	NM	Personal Care Attendant	$0	$33.9M
Southwestern Private Services, Inc.	NM	Home Health Agency	$0	$30.4M
San Juan Center For Independence	NM	Home Health Agency	$0	$22.5M
Cottonwood Clinical Services, Inc.	NM	Community/Behavioral Health Agency	$0	$18.1M
Better Together Home And Community Services, LLC	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Southwestern Private Services, Inc	NM	Home Health Agency	$0	$7.3M
Pms Dba Roundtree Childrens' Development Services	NM	Developmental Disabilities Clinic/Center	$0	$6.9M

San Juan Regional Medical Center Inc — Billing Profile & Reimbursement Data

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San Juan Regional Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References