Clinic
Pueblo of Jemez
Pueblo of Jemez was paid $272K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is G0467, community health center visit, returning patient — 90% of everything it billed.
33Billing provider infoPUEBLO OF JEMEZ
JEMEZ PUEBLO, NM 87024
JEMEZ PUEBLO, NM 87024
33aNPI1225346547assigned 09/21/2010
33bProvider typeClinic/Center
28Total paid$272K
24GClaims6,436
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in New Mexico
Rank by total paid#31 of 52
Median peer was paid$827K
This provider vs. median0.3×
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 | 1,664 | $60K | |
| 2019 | 1,456 | $50K | |
| 2020 | 809 | $29K | |
| 2021 | 649 | $25K | |
| 2022 | 675 | $45K | |
| 2023 | 686 | $41K | |
| 2024incomplete | 497 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 90% | 3,942 | 2,787 | $244K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,558 | 1,238 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.8% | 164 | 122 | $8K |
| 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 | 2.1% | 497 | 431 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 190 | 144 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 13 | $78.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | 25 | $41.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 20 | 20 | $19.93 |
| 36416 | 0% | 13 | 13 | $0.00 | |
| 90653 | 0% | 14 | 14 | $0.00 |
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 officialROSALES, NOHEMY (BUSINESS OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pueblo of Jemez | Jemez Pueblo, NM | $1.95M |
| Pueblo of Jemez | Jemez Pueblo, NM | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.