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.

Nor-lea Hospital District (NPI 1881630036)

Key Findings

Field	Value
Entity Type	Organization
Organization	Nor-lea Hospital District
Address	1600 North Main
City	Lovington
State	NM
ZIP	88260
Taxonomy	Critical Access Hospital
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$53.2M
Medicare	$0

This provider is effectively single-payer in the claims data: Medicare billing is listed as "none" while Medicaid revenue totals $53.2M, indicating that Medicaid dominates the facility's recorded public-payer volume and reimbursement footprint. As a Critical Access Hospital with no Medicare billing on file, its statewide contracting and utilization profile should be interpreted through the Medicaid lens.

Revenue is concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 36.0% of the provider's total Medicaid revenue. The single largest line item is 0202U at $5.1M (13.5% of Medicaid revenue), followed by 99283 at $4.3M (11.5%) and 99284 at $4.2M (11.1%), so a relatively small number of services drive a large share of reported Medicaid receipts.

The code mix points to a hybrid model of robust emergency-department throughput plus significant in‑house laboratory respiratory testing. High-volume ED E/M codes (99283, 99284, 99285) together represent sizable revenue lines ($4.3M, $4.2M, $3.1M respectively), while PLA and molecular test codes such as 0202U ($5.1M), 87635 ($1.1M) and 87633 ($1.5M) show that advanced respiratory diagnostics are a major operational focus. This combination is consistent with a rural acute-care facility that manages unscheduled ED care and performs significant diagnostic testing on site.

NOR-LEA is a statewide leader for specific proprietary and molecular respiratory tests: 0202U ranks #1 of 9 providers in-state and is described as "notably above typical state volume for this code" (100th percentile), while 87635 ranks #3 of 113 providers and is labeled an "extreme outlier, far above typical state volume for this code" (98th percentile); 87633 ranks #2 of 23 providers and is "notably above typical state volume for this code" (95th percentile). These rankings indicate market dominance for select respiratory and PCR testing lines versus in-state peers.

By contrast, the facility's ED evaluation-and-management codes show more typical statewide participation rather than dominance: 99283 is at the 83rd percentile (rank #15 of 84), 99284 at the 57th percentile (rank #33 of 76), and 99285 at the 53rd percentile (rank #34 of 71), which together suggest steady ED volume but not an unusually large ED market share relative to other New Mexico providers. At the same time, office/outpatient visit codes 99214 (97th percentile) and 99213 (95th percentile) indicate unusually strong outpatient visit volumes within the state.

The provider's service breadth extends beyond ED and respiratory testing into imaging, procedural, therapy, and infusion services: notable Medicaid revenue lines include 74177 CT abdomen/pelvis ($1.7M, 4.4%), 70450 CT head ($816K, 2.2%), 43239 upper endoscopy with biopsy ($1.1M, 2.9%), physical/occupational therapy codes 97110 ($1.2M, 3.1%) and 97530 ($997.2K, 2.6%), and infusion/chemotherapy codes such as 96413 ($559.9K, 1.5%) and 96365 ($651.9K, 1.7%). This mix demonstrates a full-service rural hospital capability with inpatient/ED, imaging, endoscopy, rehab, and infusion care lines contributing material Medicaid revenue.

The provider has established tenure in the data set: the NPI enumeration date is 2006-06-22 (~20 years ago), consistent with a long-standing regional provider. Coupled with its Critical Access Hospital taxonomy, the pattern of concentrated Medicaid revenue and the dominant respiratory-testing footprint highlight both dependency on Medicaid reimbursement and a sustained role as a local acute-care and diagnostic hub.

Medicaid: Complete Services Breakdown

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

389 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	13,880	$370	$5.1M
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.	31,480	$140	$4.3M
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.	15,420	$270	$4.2M
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.	7,360	$420	$3.1M
J0585	Injection, onabotulinumtoxina, 1 unit	3,160	$860	$2.7M
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.	3,230	$510	$1.7M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	15,230	$100	$1.5M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3,030	$490	$1.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	26,270	$50	$1.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	15,990	$70	$1.2M

Showing 1–10 of 389

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

Nor-lea Hospital District — 5 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

389 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.	33	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.	34	70	6,920	$210	$3.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	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.	15	80	10,650	$130	$2.4M
J0585	Injection, onabotulinumtoxina, 1 unit	5	20	810	$520	$1.6M
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.	26	60	3,070	$210	$1.4M
G0378	Hospital observation service, per hour	15	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.	28	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…	18	50	7,300	$60	$737.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	47	60	11,890	$20	$727.8K

Showing 1–10 of 389

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$18.3M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$6.8M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$2M
Kourosh Naeini	CA	Diagnostic Radiology Physician	$709.1K	$120
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
Michael Benanti	IL	Diagnostic Radiology Physician	$469.7K	$460
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Jose Ramirez	NM	Interventional Pain Medicine Physician	$403.1K	$1.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Lovington	NM	Ambulance	$333.2K	$1.3M
Med-trans Corporation	NM	Air Ambulance	$704.1K	$484.2K
Neil Berry	NM	Family Medicine Physician	$69.7K	$0
Donnie Croley	NM	Certified Registered Nurse Anesthetist	$14K	$0
Benjamin Montgomery	NM	Urology Physician	$13.3K	$0
Lenard Wagner	NM	Geriatric Medicine (Family Medicine) Physician	$4.2K	$0
Nowell Pharmacy LLC	NM	Community/Retail Pharmacy	$2.8K	$0

Nor-lea Hospital District — Billing Profile & Reimbursement Data

Sign up for Nor-lea Hospital District — Billing Profile & Reimbursement Data policy alerts

Nor-lea Hospital District — Billing Profile & Reimbursement Data

Sign up for Nor-lea Hospital District — Billing Profile & Reimbursement Data policy alerts

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