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 1528002805)

Nor-lea Hospital District is a rural health clinic/center provider located in Hobbs, New Mexico. This profile covers 0 Medicare and 21 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	515 E Main St
City	Hobbs
State	NM
ZIP	88240
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

21 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…	15,590	$90	$1.5M
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…	4,080	$90	$358.6K
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…	1,290	$90	$113.7K
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).…	1,900	$20	$28.5K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	2,300	$1	$9.2K
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…	630	$10	$8.1K
G0071	Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center…	150	$50	$6.9K
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…	540	$10	$4.8K
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…	40	$100	$4.1K
99205	The provider sees a new 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 provider…	50	$70	$3.8K

Showing 1–10 of 21

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 — 0 of 20 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	228	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…	59	960	1,010	$90	$490K
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…	848	920	860	$120	$361.9K
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,…	278	380	220	$160	$273.9K
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…	57	320	220	$110	$146.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	72	90	120	$120	$55.9K
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…	98	240	330	$20	$53.5K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	35	50	240	$20	$50.1K
99205	The provider sees a new 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 provider…	89	150	90	$170	$48.4K
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.	137	210	350	$20	$42.4K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nor-lea Hospital District	NM	Critical Access Hospital	$0	$53.2M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$18.3M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$6.8M
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
Guidance Center Of Lea County, Inc	NM	Community/Behavioral Health Agency	$0	$38.2M
Miracle Home Health Care, Inc.	NM	Home Health Agency	$0	$29.4M
American Medical Group Inc.	NM	General Practice Physician	$0	$25.7M
Lin-mar Inc.	NM	In Home Supportive Care Agency	$0	$18.2M
Leaders Industries	NM	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Alteon Health New Mexico LLC	NM	Emergency Medicine Physician	$0	$12M
Lea Regional Hospital LLC	NM	General Acute Care Hospital	$0	$10.6M
Covenant Hospital Hobbs	NM	General Acute Care Hospital	$0	$10.1M
Family Hospice, Ltd.	NM	Community Based Hospice Care Agency	$0	$7.4M
Sherif Pediatrics Clinic	NM	Adolescent and Children Mental Health Clinic/Center	$0	$6.2M

Nor-lea 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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