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.

Unm Medically Fragile Case Management Program (NPI 1841322641)

Field	Value
Entity Type	Organization
Organization	Unm Medically Fragile Case Management Program
Address	2300 Menaul Blvd Ne
City	Albuquerque
State	NM
ZIP	87107
Taxonomy	Case Management Registered Nurse
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	12,880	$520	$6.8M
T2023	Targeted case management; per month	6,200	$500	$3.1M
T2025	Waiver services; not otherwise specified (nos)	1,010	$250	$255.3K
S5190	Wellness assessment, performed by non-physician	580	$140	$80.8K
T2024	Service assessment/plan of care development, waiver	160	$190	$29.3K

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

Unm Medically Fragile Case Management Program — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	8	20	11,920	$320	$5.1M
T2023	Targeted case management; per month	21	30	7,450	$200	$2.4M
T2025	Waiver services; not otherwise specified (nos)	18	40	1,010	$360	$1.6M
T2024	Service assessment/plan of care development, waiver	10	10	480	$270	$176.9K
S5190	Wellness assessment, performed by non-physician	3	10	500	$150	$62.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Unm Medically Fragile Case Management Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unm Medical Group Inc	NM	Multi-Specialty Clinic/Center	$0	$113.5M
Unm Hospital	NM	Psychiatric Hospital Unit	$228.5K	$17.6M
Unm Focus Program	NM	Case Manager/Care Coordinator	$0	$4.9M
Raymond Yau	NM	Interventional Cardiology Physician	$155.2K	$0
Stanley Wells	NM	Diagnostic Radiology Physician	$149.4K	$1.8K
Macey Bray	NM	Diagnostic Radiology Physician	$146.9K	$0
William Schaeffer	NM	Vascular & Interventional Radiology Physician	$125.3K	$0
Paul Anthony	NM	Radiation Oncology Physician	$106.1K	$0
Thomas Schroeder	NM	Radiation Oncology Physician	$105.7K	$0
Jennifer Pohl	NM	Diagnostic Radiology Physician	$105.6K	$0

Nearby Providers

Other providers in the same ZIP code as Unm Medically Fragile Case Management Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bernalillo County Health Care Corporation	NM	Land Ambulance	$4.4M	$80M
Alianza Family Services, LLC	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Csi Aviation, Inc.	NM	Air Ambulance	$2.2M	$50.9M
Albuquerque Health Services	NM	Methadone Clinic	$195.8K	$35.4M
Native American Professional Parent Resources (nappr), Inc.	NM	Community/Behavioral Health Agency	$0	$14.6M
Courageous Transformations, Inc	NM	Methadone Clinic	$0	$13.6M
Functional Aquatics Therapy	NM	Rehabilitation Clinic/Center	$0	$6M
Roswell Home Medical Inc	NM	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Kidpower Therapy Associates	NM	Specialist	$0	$4.9M
Unm Cdd - Mi Via	NM	Home Modifications Contractor	$0	$4.9M

Unm Medically Fragile Case Management Program — Billing Profile & Reimbursement Data

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Unm Medically Fragile Case Management Program — Billing Profile & Reimbursement Data

Sign up for Unm Medically Fragile Case Management Program — 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