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.

State Of New Mexico (NPI 1982795639)

State Of New Mexico is a special hospital provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 21 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	State Of New Mexico
Address	5400 Gibson Blvd Se
City	Albuquerque
State	NM
ZIP	87108
Taxonomy	Special Hospital
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99226	N/A	4,950	$570	$2.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	390	$3,880	$1.5M
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…	1,690	$70	$121.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	990	$40	$42.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	250	$130	$32.1K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	310	$100	$29.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	200	$110	$21.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	130	$120	$15.9K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	650	$20	$14.9K
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…	1,640	$10	$11.5K

Showing 1–10 of 21

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

State Of New Mexico — 2 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99226	N/A	1	10	4,950	$570	$2.8M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	46	50	4,480	$150	$2.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	10	10	1,290	$630	$2.6M
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…	35	50	7,300	$60	$737.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	673	920	860	$120	$361.9K
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.	81	100	2,650	$10	$265.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	111	130	1,500	$10	$149.6K
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…	55	60	140	$80	$127.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	59	120	130	$130	$79.6K
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…	14	70	240	$70	$71.1K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colicia Meyerowitz	NM	Internal Medicine Physician	$195.7K	$0
Barnie Rodriguez	NM	Physician Assistant	$107K	$0
Julie Fitzgerald	CA	Medical Physician Assistant	$54.7K	$0
Babak Mirin	NM	Psychiatry Physician	$8.6K	$4.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Better Way Of Living, Inc.	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$32.4M
Safeway Medical Transportation	NM	Non-emergency Medical Transport (VAN)	$0	$27.3M
Albuquerque Treatment Services LLC	NM	Methadone Clinic	$105.4K	$18.1M
First Nations Community Health Source, Inc.	NM	Clinic/Center	$0	$15.4M
Perfectly Imperfect	NM	Mental Health Counselor	$0	$13.7M
Ds Personal Care Inc	NM	Home Health Agency	$0	$12.9M
Therapeutic Living Services, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
A Step Above Case Management	NM	Case Management Agency	$0	$8.5M
State Of The Heart Recovery	NM	Community/Behavioral Health Agency	$0	$7.5M
Blingual Multicultural Services Inc	NM	Early Intervention Provider Agency	$0	$6.1M

State Of New Mexico — 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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