NP / PA
New Mexico Specialty Medical Services, LLC
New Mexico Specialty Medical Services, LLC was paid $865K by Medicaid between May 2018 and Dec 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoNEW MEXICO SPECIALTY MEDICAL SERVICES, LLC
ALBUQUERQUE, NM 87120
ALBUQUERQUE, NM 87120
33aNPI1073047825assigned 04/19/2017
33bProvider typeFamily Nurse Practitioner
28Total paid$865K
24GClaims11,442
24DCodes billed14
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New Mexico
Rank by total paid#12 of 73
Median peer was paid$90K
This provider vs. median9.6×
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 | 953 | $58K | |
| 2019 | 1,281 | $68K | |
| 2020 | 1,224 | $74K | |
| 2021 | 3,455 | $219K | |
| 2022 | 1,889 | $139K | |
| 2023 | 1,442 | $140K | |
| 2024incomplete | 1,198 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,559 | 4,027 | $275K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,873 | 1,824 | $168K |
| 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 | 17% | 1,211 | 1,156 | $146K |
| 11102 | 10% | 1,109 | 1,022 | $87K | |
| 96920 | 6.8% | 425 | 131 | $59K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.0% | 235 | 234 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 1,243 | 1,103 | $43K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 253 | 234 | $14K |
| 17110 | 1.5% | 227 | 189 | $13K | |
| 11100 | 1.4% | 182 | 165 | $12K | |
| 96921 | <1% | 33 | 15 | $4K | |
| 11101 | <1% | 21 | 21 | $670.16 |
2 more codes
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 officialSHELBY, DEBRA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Florida Specialty Medical Services LLC | Tampa, FL | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.