Physician
San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $7.87M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoSAN JUAN REGIONAL MEDICAL CENTER INC
FARMINGTON, NM 87402
FARMINGTON, NM 87402
33aNPI1396776332assigned 07/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.87M
24GClaims122,249
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#8 of 148
Median peer was paid$167K
This provider vs. median47×
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 BYRD, KIM controls 13+ related entities in our dataset. Read more
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 | 15,635 | $952K | |
| 2019 | 20,293 | $1.11M | |
| 2020 | 15,386 | $905K | |
| 2021 | 17,769 | $1.12M | |
| 2022 | 21,920 | $1.26M | |
| 2023 | 17,099 | $1.28M | |
| 2024incomplete | 14,147 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 35,389 | 34,398 | $3.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 30,909 | 29,992 | $2.04M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 15,058 | 14,646 | $1.36M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 6,176 | 6,005 | $835K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 9,193 | 8,939 | $207K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.6% | 13,871 | 13,554 | $205K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 693 | 671 | $41K |
| 81003 | <1% | 7,135 | 6,971 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 762 | 690 | $12K |
| 81025 | <1% | 1,432 | 1,405 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 455 | 368 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 46 | 44 | $4K |
17 more codes
| 97597 | <1% | 121 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 73 | $1K |
| 87807 | <1% | 51 | $975.03 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 84 | $887.66 |
| 99283 | Emergency room visit (moderate) | <1% | 12 | $650.43 |
| 81002 | <1% | 220 | $649.69 | |
| 94664 | <1% | 13 | $156.00 | |
| 99072 | <1% | 315 | $28.45 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $24.85 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | $19.94 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 41 | $16.99 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13 | $16.67 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 24 | $16.05 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 39 | $11.35 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 44 | $3.92 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 13 | $2.44 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 26 | $1.86 |
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 officialBYRD, KIM (ADMINISTRATIVE DIRECTOR OF REIMBURS)
| Provider | Location | 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 | $3.57M |
| San Juan Regional Medical Center INC | Farmington, NM | $2.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.52M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.