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.

Northwest Hospital Medicine Physicians LLC (NPI 1972056752)

Field	Value
Entity Type	Organization
Organization	Northwest Hospital Medicine Physicians LLC
Address	2450 S Telshor Blvd
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Hospitalist Physician
NPI Enumerated	July 28, 2016

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,590	$130	$856.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,620	$60	$647.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9,600	$40	$422.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,350	$80	$417.4K
99220	N/A	890	$130	$112.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,750	$40	$62.9K
99217	N/A	780	$50	$38.2K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	210	$150	$30.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,010	$1	$9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$590

Showing 1–10 of 11

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

Northwest Hospital Medicine Physicians LLC — 3 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	90	570	$80	$392.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	14	120	430	$50	$279.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	90	180	$140	$152.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6	60	140	$80	$127.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	13	70	240	$70	$71.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	27	70	1,940	$10	$68.7K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	4	10	210	$150	$67.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	24	30	50	$80	$27.4K
99220	N/A	1	10	90	$120	$20K
99217	N/A	1	10	50	$50	$7.2K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Hospital Medicine Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jaime Sanchez	NM	Family Nurse Practitioner	$1.2M	$33.9K
Sathish Kumar Cullath Harikrishnan	IL	Hospitalist Physician	$153.6K	$200.1K
Abhinav Singh	NM	Internal Medicine Physician	$302.6K	$0
Susann Ravessoud	NM	Acute Care Nurse Practitioner	$210.8K	$0
Ibrahim Mansour	NY	Internal Medicine Physician	$173.4K	$0
Claudio Perez-ledezma	NM	Nephrology Physician	$160K	$0
Herbert Stickle	WA	Family Medicine Physician	$144.2K	$0
Michael Magee	ID	Internal Medicine Physician	$86.9K	$0
Anne Fox	NC	Infectious Disease Physician	$85.4K	$0
Katherine Gray	NM	Acute Care Nurse Practitioner	$83.4K	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Hospital Medicine Physicians LLC, ranked by combined Medicare and Medicaid revenue.

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
Phc-las Cruces Inc	NM	General Acute Care Hospital	$0	$64.8M
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

Northwest Hospital Medicine Physicians LLC — Billing Profile & Reimbursement Data

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Northwest Hospital Medicine Physicians LLC — 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

Nearby Providers

Frequently Asked Questions

References