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.

Canoncito Band Of Navajos Health Center, Inc. (NPI 1578010070)

Field	Value
Entity Type	Organization
Organization	Canoncito Band Of Navajos Health Center, Inc.
Address	129 Medicine Horse Drive
City	Tohajiilee
State	NM
ZIP	87026
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 1, 2016

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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…	3,700	$360	$1.3M
Q3014	Telehealth originating site facility fee	760	$470	$360.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,200	$70	$83.9K
51900	A vesicovaginal fistula is an opening between the vagina and the urinary bladder. A urethrovaginal fistula is an opening between the vagina and the urethra. These afflictions often occur following…	270	$250	$67K
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,…	680	$70	$43.9K
47900	The provider uses sutures to repair an injury in the extrahepatic biliary duct.	80	$280	$21.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	30	$90	$2.7K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	10	$70	$950
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	20	$60	$840
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	30	$20	$450

Showing 1–10 of 11

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

Canoncito Band Of Navajos Health Center, Inc. — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q3014	Telehealth originating site facility fee	80	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…	244	930	910	$80	$521.6K
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,…	121	380	220	$160	$273.9K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	44	50	740	$50	$138.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	62	100	1,770	$30	$71.1K
51900	A vesicovaginal fistula is an opening between the vagina and the urinary bladder. A urethrovaginal fistula is an opening between the vagina and the urethra. These afflictions often occur following…	1	10	120	$330	$49.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	229	270	270	$20	$37K
47900	The provider uses sutures to repair an injury in the extrahepatic biliary duct.	1	10	80	$280	$21.6K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	57	70	310	$40	$21.3K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	110	120	50	$1	$1K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Canoncito Band Of Navajos Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberto Montes	NM	Clinical Psychologist	$124K	$0
Emily Rothman	NM	Family Medicine Physician	$39.1K	$0
Russell Brown	NM	Psychiatry Physician	$10K	$360
Sheryl O'shea	NM	Family Medicine Physician	$2.4K	$0
Ursula Roblero	NM	Family Medicine Physician	$1.9K	$0
Romilly Ortiz	NM	Physician Assistant	$900	$0

Canoncito Band Of Navajos Health Center, Inc. — Billing Profile & Reimbursement Data

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Canoncito Band Of Navajos Health 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

Frequently Asked Questions

References