Pediatrix Medical Group of New Mexico, P.C.
Pediatrix Medical Group of New Mexico, P.C. was paid $11.93M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99480, Subsequent intensive care, per day, low birth weight infant — 28% of everything it billed.
ALBUQUERQUE, NM 87106
Next to other Pediatrics 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 | 14,940 | $2.02M | |
| 2019 | 15,286 | $2.05M | |
| 2020 | 11,238 | $1.51M | |
| 2021 | 10,736 | $1.46M | |
| 2022 | 11,875 | $1.73M | |
| 2023 | 10,986 | $1.61M | |
| 2024incomplete | 9,748 | $1.53M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99480 | Subsequent intensive care, per day, low birth weight infant | 28% | 26,221 | 9,252 | $3.28M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 26% | 7,517 | 2,801 | $3.05M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 21% | 19,345 | 6,369 | $2.50M |
| 92650 | 12% | 14,067 | 13,166 | $1.42M | |
| 92586 | 8.9% | 13,907 | 13,792 | $1.06M | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.2% | 541 | 136 | $258K |
| 99464 | 2.0% | 2,663 | 2,640 | $243K | |
| 99468 | <1% | 82 | 82 | $77K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 336 | 335 | $25K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 130 | 129 | $14K |
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 |
|---|---|---|
| Pediatrix Medical Group of Florida INC | Sunrise, FL | $35.97M |
| Obstetrix Medical Group of Phoenix PC | Mesa, AZ | $31.04M |
| Pediatrix Medical Group of Washington INC PS | Seattle, WA | $19.97M |
| Alaska Neonatology Associates INC | Orange, CA | $9.36M |
| Neonatal Specialists, LTD. | Tucson, AZ | $5.71M |
| Pediatrix Cardiology of Orange County, P.C. | Orange, CA | $3.62M |
| Pediatrix Cardiology of Washington, P.C. | Tacoma, WA | $3.24M |
| Obstetrix Medical Group of the Central Coast Professional Corporation | Orange, CA | $2.24M |
| Obstetrix Medical Group of Washington INC PS | Seattle, WA | $1.64M |
| Pediatrix Medical Group, INC. | Sunrise, FL | $1.54M |
| Mountain States Neonatology, INC. | Boise, ID | $1.15M |
| Northwest Newborn Specialists PC | Orange, CA | $653K |
| Obstetrix Medical Group of Utah, PC | Salt Lake City, UT | $364K |
| Pediatrix Medical Group of Montana, PC | Sunrise, FL | $182K |
| Neonatal Specialists LTD | Tucson, AZ | $783.84 |
| Obstetrix Medical Group of Phoenix PC | Phoenix, AZ | $437.37 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.