Supplier
New Mexico Department of Health
New Mexico Department of Health was paid $60.36M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 78% of everything it billed.
33Billing provider infoNEW MEXICO DEPARTMENT OF HEALTH
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1194886499assigned 12/12/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$60.36M
24GClaims186,145
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Customized Equipment (DME) providers in New Mexico
Rank by total paid#1 of 16
Median peer was paid$555K
This provider vs. median109×
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 | 25,558 | $7.40M | |
| 2019 | 26,064 | $7.47M | |
| 2020 | 25,111 | $8.12M | |
| 2021 | 26,552 | $9.90M | |
| 2022 | 30,843 | $10.96M | |
| 2023 | 33,595 | $11.04M | |
| 2024incomplete | 18,422 | $5.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 78% | 116,331 | 4,039 | $47.32M |
| H2021 | Community-based wrap-around services, per 15 minutes | 8.8% | 32,208 | 3,618 | $5.34M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 5.2% | 32,037 | 3,143 | $3.17M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 4.9% | 3,987 | 364 | $2.98M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 2.6% | 1,582 | 1,541 | $1.56M |
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 officialGIFFORD, SCOTT (LINE II MANAGER)
Parent organizationSTATE OF NEW MEXICO, DOH, DDSD, ASB