Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAN JUAN REGIONAL MEDICAL CENTER INC

NPI: 1225076003 · FARMINGTON, NM 87401 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 06/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BYRD, KIM controls 13+ related entities in our dataset. Read more

$1.52M
Total Medicaid Paid
23,564
Total Claims
22,045
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBYRD, KIM (ADMINISTRATIVE DIRECTOR OF REIMBURS)
Parent OrganizationSAN JUAN REGIONAL MEDICAL CENTER INC
NPI Enumeration Date06/03/2006

Related Entities

Other providers sharing the same authorized official: BYRD, KIM

ProviderCityStateTotal 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 $1.43M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,497 $99K
2019 2,712 $138K
2020 1,946 $129K
2021 3,889 $224K
2022 4,793 $257K
2023 4,385 $328K
2024 3,342 $343K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,799 12,831 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,492 3,288 $187K
99215 Prolong outpt/office vis 1,784 1,680 $174K
99309 Subsequent nursing facility care, per day, low to moderate complexity 800 789 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 126 122 $15K
99223 Prolong inpt eval add15 m 56 54 $8K
99205 Prolong outpt/office vis 43 41 $7K
83036 Hemoglobin; glycosylated (A1C) 1,002 981 $7K
99442 114 102 $6K
94726 526 517 $5K
98968 153 102 $4K
99443 52 45 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 47 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 176 173 $3K
94729 527 518 $3K
90686 169 164 $2K
98967 120 81 $2K
94010 209 204 $2K
90656 52 51 $727.12
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 55 40 $702.84
98966 64 46 $675.45
99441 20 14 $593.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 14 $522.16
99318 26 26 $430.14
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $183.33
0012A 17 15 $120.08
94060 12 12 $95.57
99072 72 62 $0.00
G0008 Administration of influenza virus vaccine 18 13 $0.00