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.

Sierra Vista Hospital (NPI 1760446009)

Sierra Vista Hospital is a critical access hospital provider located in Truth Or Consequences, New Mexico. This profile covers 0 Medicare and 137 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	Sierra Vista Hospital
Address	800 E 9th Ave
City	Truth Or Consequences
State	NM
ZIP	87901
Taxonomy	Critical Access Hospital
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

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

137 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.	10,710	$350	$3.7M
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.	4,800	$400	$1.9M
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.	2,940	$500	$1.5M
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.	1,050	$830	$868.4K
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.	1,960	$360	$703.3K
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…	3,970	$120	$484.7K
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.	13,000	$30	$441.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,000	$80	$409.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	3,970	$100	$397.4K
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.	1,520	$230	$349K

Showing 1–10 of 137

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

Sierra Vista Hospital — 0 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

137 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.	50	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.	44	70	6,920	$210	$3.5M
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.	41	80	10,650	$130	$2.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	38	50	1,320	$270	$2M
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.	40	60	3,070	$210	$1.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	39	60	1,850	$260	$1.2M
G0378	Hospital observation service, per hour	29	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.	34	60	2,820	$110	$799.5K
G0390	Trauma response team associated with hospital critical care service	2	10	1,010	$820	$764.5K
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…	31	50	7,300	$60	$737.6K

Showing 1–10 of 137

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Sierra Vista Hospital	NM	Rural Health Clinic/Center	$0	$2.6M
Sierra Vista Hospital Ambulance	NM	Ambulance	$0	$1.6M
Robbie Shoots	NM	Diagnostic Radiology Physician	$597.6K	$10.1K
Kalpesh Patel	AZ	Diagnostic Radiology Physician	$409.1K	$0
Supriya Gupta	IL	Diagnostic Radiology Physician	$199.2K	$166K
Jose Ospina	CA	Diagnostic Radiology Physician	$170.4K	$110.1K
Erik Richter	PA	Diagnostic Radiology Physician	$136.2K	$124.2K
Muhammad Sardar	OH	Interventional Cardiology Physician	$213.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Horizons Counseling Center LLC	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$1.8M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$1.5M
Jorge Partida	NM	Emergency Medicine Physician	$65.7K	$0
John Garver	NM	Family Medicine Physician	$63.3K	$0
Leslie Boone	NM	Physical Therapist	$50.9K	$0
Jocelyn Fiaschetti	NM	Clinical Social Worker	$27.8K	$0

Sierra Vista Hospital — Billing Profile & Reimbursement Data

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Sierra Vista Hospital — 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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