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.

Taos Medical Group P A (NPI 1558392274)

Field	Value
Entity Type	Organization
Organization	Taos Medical Group P A
Address	1399 Weimer Rd Ste 200
City	Taos
State	NM
ZIP	87571
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 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…	15,020	$70	$1M
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…	4,860	$50	$228.4K
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…	2,590	$80	$194.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,670	$20	$30.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,090	$20	$21.8K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	3,940	$1	$15.8K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	510	$30	$13.8K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	310	$30	$10.2K
S9999	Sales tax	1,150	$10	$5.8K
99443	N/A	120	$40	$4.2K

Showing 1–10 of 35

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

Taos Medical Group P A — 0 of 22 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

35 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…	203	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…	63	960	1,010	$90	$490K
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…	30	320	220	$110	$146.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	27	40	390	$30	$89K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	10	20	150	$90	$64.4K
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…	196	240	330	$20	$53.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	11	50	380	$20	$38.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	59	270	270	$20	$37K
99443	N/A	47	90	120	$100	$36.9K
S9999	Sales tax	64	160	800	$10	$25.2K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Taos Medical Group P A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Kaufman	NM	Internal Medicine Physician	$158.7K	$0
Robert White	NM	Internal Medicine Physician	$140K	$0
Jemery Kaufman	NM	Internal Medicine Physician	$83.5K	$0
Deborah Van Willigen	NM	Family Medicine Physician	$75.7K	$0

Nearby Providers

Other providers in the same ZIP code as Taos Medical Group P A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taos Health Systems, Inc., Holy Cross Hospital	NM	Critical Access Hospital	$0	$30.9M
Nonviolence Works, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.3M
Gregory & Associates	NM	Case Management Agency	$0	$19.1M
Taos Picuris Health Center	NM	Clinic/Center	$0	$6.6M
Rio Grande Alcoholism Treatment Center Incorporated	NM	Substance Abuse Rehabilitation Facility	$0	$6.4M
Taos Pueblo Division Of Health And Community Services	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Taos Clinic For Children And Youth	NM	Pediatrics Physician	$0	$3.1M
Taos Urgent Care, Inc	NM	Urgent Care Clinic/Center	$0	$2.9M
Taos Professional Services,llc	NM	Surgery Physician	$0	$2.5M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M

Taos Medical Group P A — Billing Profile & Reimbursement Data

Sign up for Taos Medical Group P A — Billing Profile & Reimbursement Data policy alerts

Taos Medical Group P A — Billing Profile & Reimbursement Data

Sign up for Taos Medical Group P A — 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