Rio Pecos Medical Associates LTD
Rio Pecos Medical Associates LTD was paid $3.61M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 38% of everything it billed.
33Billing provider infoRIO PECOS MEDICAL ASSOCIATES LTD
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1033163076assigned 05/22/2006
33bProvider typeSpecialist
28Total paid$3.61M
24GClaims77,017
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#12 of 53
Median peer was paid$279K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,004 | $656K | |
| 2019 | 12,767 | $501K | |
| 2020 | 6,502 | $442K | |
| 2021 | 10,663 | $328K | |
| 2022 | 14,545 | $473K | |
| 2023 | 6,991 | $424K | |
| 2024incomplete | 6,545 | $782K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 38% | 694 | 692 | $1.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 6,022 | 5,658 | $358K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.9% | 3,234 | 3,051 | $320K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 8.8% | 1,234 | 1,202 | $319K |
| G9005 | Coordinated care fee, risk adjusted maintenance | 8.8% | 1,163 | 1,162 | $317K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.3% | 1,790 | 1,771 | $156K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.0% | 1,103 | 1,056 | $110K |
| 76801 | 2.0% | 512 | 495 | $74K | |
| S9999 | Sales tax | 1.8% | 6,612 | 2,968 | $66K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 499 | 253 | $60K |
| 81003 | 1.6% | 25,408 | 17,414 | $57K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 590 | 583 | $51K |
36 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 620 | $47K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.0% | 1,681 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 947 | $35K |
| 81025 | <1% | 3,515 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 227 | $27K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 162 | $25K |
| 76830 | Ultrasound, transvaginal | <1% | 248 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 109 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,019 | $16K |
| 99219 | <1% | 152 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,200 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 700 | $12K |
| 81001 | <1% | 2,644 | $9K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 994 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 49 | $5K |
| 80055 | <1% | 56 | $3K | |
| 82951 | <1% | 220 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 19 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $3K |
| 99385 | <1% | 12 | $2K | |
| 87210 | <1% | 248 | $1K | |
| 59899 | <1% | 12 | $1K | |
| 77080 | <1% | 29 | $905.80 | |
| 77065 | Tomosynthesis, mammo | <1% | 12 | $891.71 |
| 80053 | Comprehensive metabolic panel | <1% | 40 | $813.60 |
| 94760 | <1% | 607 | $748.25 | |
| 59025 | Fetal non-stress test | <1% | 12 | $373.35 |
| 90756 | <1% | 13 | $362.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $276.74 |
| 99000 | <1% | 213 | $150.24 | |
| 99072 | <1% | 2,188 | $58.73 | |
| 83986 | <1% | 12 | $36.97 | |
| 0502F | <1% | 3,456 | $0.08 | |
| 0501F | <1% | 3,488 | $0.08 | |
| 0500F | 0% | 152 | $0.00 | |
| 0503F | 0% | 61 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVELASQUEZ, JERRY (OFFICE MANAGER)