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.

Mescalero Indian Hospital (NPI 1891886065)

Field	Value
Entity Type	Organization
Organization	Mescalero Indian Hospital
Address	318 Abalone Loop
City	Mescalero
State	NM
ZIP	88340
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q3014	Telehealth originating site facility fee	1,980	$490	$969.2K
0001A	N/A	430	$510	$218.5K
0011A	N/A	410	$510	$211.4K
0064A	N/A	270	$530	$144.7K
0071A	N/A	190	$530	$100K
0072A	N/A	180	$540	$94.9K
0004A	N/A	80	$510	$42.1K
0002A	N/A	60	$520	$32.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	410	$70	$29.2K
0054A	N/A	40	$620	$24.3K

Showing 1–10 of 17

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

Mescalero Indian Hospital — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	34	40	3,670	$80	$3.2M
Q3014	Telehealth originating site facility fee	55	180	620	$160	$546.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	767	930	910	$80	$521.6K
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…	940	960	1,010	$90	$490K
0054A	N/A	12	20	60	$450	$132.7K
0002A	N/A	45	70	130	$190	$107.2K
0001A	N/A	16	70	130	$180	$102.6K
0124A	N/A	35	40	70	$330	$89.7K
0064A	N/A	9	40	100	$380	$89.4K
99441	N/A	71	120	210	$90	$68.4K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mescalero Indian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Cole	AR	Anatomic Pathology & Clinical Pathology Physician	$472.3K	$0
Andrew Lancaster	NM	Endocrinology, Diabetes & Metabolism Physician	$56K	$0
James Urbina	ME	Internal Medicine Physician	$28.7K	$0
Salvador Mercado Rodriguez	PR	General Practice Physician	$17.6K	$0
Wally Jean	MT	General Practice Physician	$11.8K	$0
Thu Tran	MT	General Practice Physician	$10.8K	$0
Shirley Dakin	NM	Registered Dietitian	$3.6K	$0

Mescalero Indian Hospital — Billing Profile & Reimbursement Data

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Mescalero Indian 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

Related Providers

Frequently Asked Questions

References