Gates, Roxanne
Gates, Roxanne was paid $4.18M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T2025, waiver services not otherwise specified — 100% of everything it billed.
33Billing provider infoGATES, ROXANNE
LAS CRUCES, NM 88001
LAS CRUCES, NM 88001
33aNPI1205132297assigned 02/08/2011
33bProvider typeCase Manager/Care Coordinator
28Total paid$4.18M
24GClaims15,059
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in New Mexico
Rank by total paid#3 of 12
Median peer was paid$476K
This provider vs. median8.8×
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.
Single-Code Concentration100% of spending on code T2025 with only 1 total codes billed. Highly concentrated billing profile.
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 | 2,053 | $457K | |
| 2019 | 2,203 | $470K | |
| 2020 | 2,109 | $535K | |
| 2021 | 1,999 | $556K | |
| 2022 | 2,251 | $692K | |
| 2023 | 2,436 | $796K | |
| 2024incomplete | 2,008 | $676K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 100% | 15,059 | 14,340 | $4.18M |
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.