Physician
San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $15.60M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoSAN JUAN REGIONAL MEDICAL CENTER INC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1093800534assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$15.60M
24GClaims318,122
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#3 of 53
Median peer was paid$535K
This provider vs. median29×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BYRD, KIM controls 13+ related entities in our dataset. Read more
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 | 42,664 | $1.86M | |
| 2019 | 44,895 | $1.75M | |
| 2020 | 45,323 | $1.81M | |
| 2021 | 45,452 | $1.95M | |
| 2022 | 50,910 | $2.34M | |
| 2023 | 46,938 | $2.81M | |
| 2024incomplete | 41,940 | $3.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 52,762 | 48,645 | $5.25M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 34,879 | 33,045 | $2.57M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 18,004 | 17,819 | $1.81M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 16,251 | 16,090 | $1.63M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 8.6% | 48,479 | 28,530 | $1.34M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 8,816 | 8,713 | $879K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 33,789 | 33,199 | $695K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 4,120 | 4,065 | $415K |
| 90473 | 1.4% | 10,299 | 10,208 | $213K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 10,555 | 9,178 | $150K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,107 | 2,079 | $146K |
| 90686 | <1% | 14,004 | 13,807 | $90K |
53 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 609 | $69K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 495 | $65K |
| 99460 | <1% | 608 | $49K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 204 | $28K |
| 99383 | <1% | 165 | $27K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 474 | $25K |
| 99235 | <1% | 121 | $20K | |
| 88720 | <1% | 3,387 | $17K | |
| 90656 | <1% | 962 | $14K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 131 | $13K |
| 90672 | <1% | 926 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 639 | $10K |
| 99188 | <1% | 420 | $8K | |
| 99223 | Prolong inpt eval add15 m | <1% | 47 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 118 | $7K |
| 0072A | <1% | 153 | $6K | |
| 99080 | <1% | 1,102 | $5K | |
| 0071A | <1% | 132 | $5K | |
| 99384 | <1% | 17 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 84 | $3K |
| 90670 | <1% | 10,608 | $3K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 199 | $2K |
| 54150 | <1% | 26 | $2K | |
| 99382 | <1% | 14 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 98967 | <1% | 72 | $1K | |
| 90620 | <1% | 175 | $1K | |
| 99463 | <1% | 12 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15 | $1K |
| 96127 | <1% | 261 | $1K | |
| 90649 | <1% | 1,748 | $1K | |
| 81003 | <1% | 438 | $950.23 | |
| 94060 | <1% | 13 | $663.13 | |
| 98968 | <1% | 14 | $418.56 | |
| 90716 | <1% | 465 | $409.60 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 234 | $382.92 |
| 90680 | <1% | 8,543 | $249.11 | |
| 90660 | <1% | 13 | $202.09 | |
| 90707 | <1% | 573 | $190.13 | |
| 81025 | <1% | 19 | $156.83 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $120.56 |
| 90723 | <1% | 9,717 | $105.23 | |
| 90647 | <1% | 9,408 | $96.50 | |
| 90715 | <1% | 504 | $69.59 | |
| 90700 | <1% | 3,179 | $55.14 | |
| 90633 | <1% | 4,996 | $14.67 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $11.35 |
| 90710 | <1% | 1,132 | $3.87 | |
| 90734 | <1% | 374 | $2.41 | |
| 90685 | <1% | 365 | $2.33 | |
| 90696 | <1% | 85 | $0.47 | |
| 90681 | <1% | 12 | $0.09 | |
| 99072 | 0% | 13 | $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 officialBYRD, KIM (ADMINISTRATIVE DIRECTOR OF REIMBURS)
Parent organizationSAN JUAN REGIONAL MEDICAL CENTER INC
| Provider | Location | Paid |
|---|---|---|
| San Juan Regional Medical Center INC | Farmington, NM | $23.73M |
| San Juan Regional Medical Center INC | Farmington, NM | $7.87M |
| San Juan Regional Medical Center INC | Farmington, NM | $3.57M |
| San Juan Regional Medical Center INC | Farmington, NM | $2.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.43M |
| San Juan Regional Medical Center INC | Aztec, NM | $1.34M |
| San Juan Regional Medical Center INC | Farmington, NM | $933K |
| San Juan Regional Medical Center INC | Farmington, NM | $544K |
| San Juan Regional Medical Center INC | Farmington, NM | $358K |
| San Juan Regional Medical Center INC | Farmington, NM | $330K |
| San Juan Regional Medical Center INC | Farmington, NM | $69K |
| San Juan Regional Medical Center INC | Farmington, NM | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.