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.

Five Sandoval Indian Pueblos, Inc. (NPI 1689896284)

Field	Value
Entity Type	Organization
Organization	Five Sandoval Indian Pueblos, Inc.
Address	1043 Hwy 313
City	Bernalillo
State	NM
ZIP	87004
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q3014	Telehealth originating site facility fee	5,690	$540	$3.1M
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…	210	$430	$88.8K

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

Five Sandoval Indian Pueblos, Inc. — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q3014	Telehealth originating site facility fee	27	180	620	$160	$546.7K
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…	670	920	860	$120	$361.9K

Nearby Providers

Other providers in the same ZIP code as Five Sandoval Indian Pueblos, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Always There Home Care LLC	NM	In Home Supportive Care Agency	$0	$33.4M
Valle Del Sol Of New Mexico, LLC	NM	Community/Behavioral Health Agency	$0	$7.7M
Abrazos Family Support Services	NM	Developmentally Disabled Services Day Training Agency	$0	$6.9M
El Pueblo Health Services, Inc	NM	Family Nurse Practitioner	$0	$4.3M
County Of Sandoval	NM	Ambulance	$148.7K	$2.2M
Walgreen Co	NM	Pharmacy	$155.4K	$0
Wal-mart Stores East LP	NM	Community/Retail Pharmacy	$91.4K	$0
Deidra Casaus	NM	Optometrist	$19.2K	$0
Robert Fontenot	NM	Optometrist	$11.7K	$0
Steven Hartman	NM	Family Medicine Physician	$11.4K	$0

Five Sandoval Indian Pueblos, Inc. — Billing Profile & Reimbursement Data

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Five Sandoval Indian Pueblos, Inc. — Billing Profile & Reimbursement Data

Sign up for Five Sandoval Indian Pueblos, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References