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.

Phc-las Cruces Inc (NPI 1700821808)

Key Findings

Field	Value
Entity Type	Organization
Organization	Phc-las Cruces Inc
Address	2450 S Telshor Blvd
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicaid	$64.8M
Medicare	$0

This provider is effectively single‑payer in the available dataset: Medicare billing is recorded as none while total Medicaid revenue is $64.8M, indicating Medicaid is the dominant and effectively sole recorded public payer for this entity. The absence of Medicare claims on file should be considered when comparing its scale and service mix against hospitals with mixed payer portfolios.

Revenue is highly concentrated in emergency department evaluation and management codes: the top three Medicaid codes (99283, 99284, 99285) account for 40.3% of the provider's total Medicaid revenue, with 99283 generating $7.6M (18.2%), 99284 $6.2M (14.8%), and 99285 $3.1M (7.3%). This concentration highlights that a large share of Medicaid dollars flows through ED encounters rather than elective inpatient or outpatient procedural lines.

The code mix indicates the provider operates as an ED‑centric acute care facility with significant observation capacity and diagnostic throughput: high revenue and claim volumes for 99282–99285 family plus G0378 (hospital observation service) and advanced imaging codes like 74177 and 70450 show an emphasis on emergency evaluation, short‑term observation, and rapid diagnostic workups. Ancillary volumes in lab panels (80053) and basic radiography (71045) further support a high‑intensity emergency and acute diagnostic practice.

Competitive standing is mixed across service lines. For core ED E/M codes the provider posts typical statewide volumes (99283 ranks #8 of 84 providers in‑state (92th percentile; typical, unremarkable volume for this code), 99284 ranks #14 of 76 (83th percentile; typical, unremarkable volume for this code), and 99285 ranks #23 of 71 (69th percentile; typical, unremarkable volume for this code)), indicating it is a solid but not dominant ED visit leader statewide. Conversely, ancillary services show stronger positions: G0378 ranks #2 of 35 providers in‑state (97th percentile; notably above typical state volume for this code) and 80053 ranks #3 of 97 (98th percentile; notably above typical state volume for this code), meaning the hospital is a regional outlier for observation hours and comprehensive metabolic panel testing.

Several codes are flagged as statistical outliers or notably above typical volume and these have operational implications. 96372 ranks #4 of 241 providers in‑state (99th percentile; extreme outlier, far above typical state volume for this code), indicating unusually high volumes of therapeutic/subcutaneous or intramuscular injections; G0378 (97th percentile; notably above typical state volume) and 80053 (98th percentile; notably above typical state volume) similarly point to elevated observation and lab throughput relative to peers. These outlier signals suggest internal workflows, capacity, or local referral patterns that concentrate certain types of episodic care at this facility.

Diagnostic imaging and laboratory services form an important revenue stream supporting the ED and observation activity: CT abdomen/pelvis with contrast 74177 ($2.8M, 6.8%), CT head 70450 ($2.0M, 4.7%), chest radiograph 71045 ($1.5M, 3.7%), comprehensive metabolic panel 80053 ($1.6M, 3.8%), and CBC 85025 ($976.6K, 2.3%) all appear in the top‑25 Medicaid codes. The presence of both advanced imaging and high volumes of routine labs is consistent with a high‑throughput emergency/acute diagnostic center that relies on imaging and labs to support clinical decision making and observation stays.

The provider has been established for an extended period, with its NPI enumerated 2006‑06‑20 (~20 years ago), which supports that the observed patterns reflect an experienced, steady operation rather than a short‑term anomaly. Given the single‑payer Medicaid concentration ($64.8M and no Medicare billing on file) and heavy reliance on ED/observation and selected ancillary services, analysts should treat changes in Medicaid policy, local referral patterns, or observation payment rules as material risks to this provider's revenue base.

Medicaid: Complete Services Breakdown

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

468 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	53,040	$140	$7.6M
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.	33,760	$180	$6.2M
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.	12,500	$250	$3.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,050	$350	$2.8M
G0378	Hospital observation service, per hour	12,720	$190	$2.4M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	10,220	$190	$2M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	32,080	$60	$1.9M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	123,320	$10	$1.6M
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.	16,460	$90	$1.5M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	25,920	$60	$1.5M

Showing 1–10 of 468

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

Phc-las Cruces Inc — 4 of 25 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

468 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.	14	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.	23	70	6,920	$210	$3.5M
J9271	Injection, pembrolizumab, 1 mg	2	10	420	$7,810	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	40	3,670	$80	$3.2M
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.	8	80	10,650	$130	$2.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11	60	3,070	$210	$1.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	10	290	$320	$1.3M
G0378	Hospital observation service, per hour	2	40	1,000	$400	$1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9	60	2,820	$110	$799.5K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5	50	7,300	$60	$737.6K

Showing 1–10 of 468

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phc-las Cruces Inc	NM	Family Medicine Physician	$0	$2.7M
Ramadevi Medavarapu	NM	Hematology & Oncology Physician	$1.5M	$0
Lynne Bui	CA	Hematology & Oncology Physician	$309.4K	$0
Tariq Mahmood	OK	Medical Oncology Physician	$253.8K	$17.8K
Jason Call	NM	Radiation Oncology Physician	$146.3K	$0
Paul Anthony	NM	Radiation Oncology Physician	$106.1K	$0
Gregory Willis	OR	Radiation Oncology Physician	$95.9K	$0
William Adler	HI	Hematology & Oncology Physician	$93.8K	$0
Jose Rodriguez Arciniega	NM	Cardiovascular Disease Physician	$93.6K	$0
Leandrita Ortega	NM	Family Medicine Physician	$91.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Shadows Home Care Services, Inc	NM	Home Health Agency	$0	$92.9M
Las Cruces Medical Center LLC	NM	General Acute Care Hospital	$0	$86.8M
Addus Healthcare, Inc.	NM	In Home Supportive Care Agency	$0	$81.1M
Las Cruces Physician Services LLC	NM	Orthopaedic Surgery Physician	$0	$62.9M
Multicultural Evaluation & Consultation Associates LLC	NM	Early Intervention Provider Agency	$0	$59.3M
Quality Life Services, LLC	NM	Specialist	$0	$44.9M
Las Cruces Physician Practices, LLC	NM	Family Medicine Physician	$0	$22.8M
Southwest Emergency Medical Associates Of Nm PC	NM	Emergency Medicine Physician	$0	$20.3M
Milagro De Vida Community Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.2M
Joseph B. Furlong, P.A.	NM	Specialist	$0	$14.4M

Phc-las Cruces Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References