Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sheridan Children Healthcare Services of New Mexico INC

Sheridan Children Healthcare Services of New Mexico INC was paid $2.90M by Medicaid between Jan 2018 and Sep 2022, across 14 billing codes. Its largest line is 99480, Subsequent intensive care, per day, low birth weight infant — 24% of everything it billed.

33Billing provider infoSHERIDAN CHILDREN HEALTHCARE SERVICES OF NEW MEXICO INC
ALBUQUERQUE, NM 87109
33aNPI1245213750assigned 11/29/2005
33bProvider typePediatrics Physician
28Total paid$2.90M
24GClaims30,453
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Pediatrics Physician providers in New Mexico

Rank by total paid#15 of 53
Median peer was paid$535K
This provider vs. median5.4×

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.

Entity ProliferationAuthorized official COWARD, ROBERT controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20188,048$704K
20194,041$324K
20204,413$456K
20217,740$767K
20226,211$651K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99480 Subsequent intensive care, per day, low birth weight infant 24% 6,418 2,363 $691K
99479 Subsequent intensive care, per day, very low birth weight infant 17% 4,627 1,336 $503K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 16% 1,436 437 $458K
99460 9.7% 3,890 3,654 $281K
92650 8.9% 3,658 3,017 $258K
92586 8.6% 4,051 3,621 $250K
99239 Hospital discharge day management, more than 30 minutes 7.7% 2,544 2,363 $224K
99238 Hospital discharge day management, 30 minutes or less 3.2% 1,489 1,401 $92K
54150 3.0% 1,011 939 $88K
99462 1.4% 1,141 948 $39K
99463 <1% 89 78 $7K
54160 <1% 50 48 $7K
2 more codes
99464 <1% 25 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 24 $439.37

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 officialCOWARD, ROBERT (PRESIDENT)
Same official

Other billing entities under COWARD, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.