San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $330K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 24% of everything it billed.
FARMINGTON, NM 87401
Next to other Surgery Physician providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 780 | $57K | |
| 2019 | 408 | $32K | |
| 2020 | 378 | $29K | |
| 2021 | 592 | $48K | |
| 2022 | 523 | $51K | |
| 2023 | 334 | $41K | |
| 2024incomplete | 527 | $72K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 24% | 574 | 549 | $78K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 733 | 719 | $55K |
| 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 | 15% | 449 | 438 | $51K |
| 47563 | 13% | 331 | 326 | $41K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 218 | 190 | $33K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.7% | 617 | 286 | $32K |
| 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 | 6.6% | 189 | 157 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 290 | 278 | $12K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 45 | 45 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | 75 | $2K |
| 99243 | <1% | 15 | 14 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| San Juan Regional Medical Center INC | Farmington, NM | $23.73M |
| San Juan Regional Medical Center INC | Farmington, NM | $15.60M |
| 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 | $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.