Nexus Health Primary Care LLC

Nexus Health Primary Care LLC was paid $300K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoNEXUS HEALTH PRIMARY CARE LLC
SANTA FE, NM 87505

33aNPI1093903320assigned 10/11/2007

33bProvider typeInternal Medicine Physician

28Total paid$300K

24GClaims6,508

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Mexico

Rank by total paid#19 of 53

Median peer was paid$93K

This provider vs. median3.2×

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	1,823	$58K
2019	838	$36K
2020	872	$47K
2021	783	$43K
2022	727	$36K
2023	572	$40K
2024incomplete	893	$41K

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	46%	2,742	2,466	$138K
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	39%	1,641	1,536	$116K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	7.2%	662	618	$21K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	2.0%	500	465	$6K
99490	Ccm add 20min	1.5%	261	256	$5K
20610		1.3%	136	66	$4K
77002		1.3%	126	61	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	42	37	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	100	84	$2K
S9999	Sales tax	<1%	103	82	$746.86
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	22	18	$713.38
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	173	77	$11.32

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 officialBLANKS, COURTNEY (BUSINESS MANAGER)