Physician
Unmsom 89
Unmsom 89 was paid $934K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoUNMSOM 89
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1396906798assigned 06/19/2008
33bProvider typeFamily Medicine Physician
28Total paid$934K
24GClaims12,493
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#34 of 148
Median peer was paid$167K
This provider vs. median5.6×
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 | 2,204 | $148K | |
| 2019 | 2,769 | $216K | |
| 2020 | 2,404 | $204K | |
| 2021 | 2,714 | $190K | |
| 2022 | 2,096 | $152K | |
| 2023 | 306 | $24K |
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 | 84% | 9,860 | 9,241 | $781K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,010 | 1,913 | $109K |
| 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 | 3.9% | 275 | 273 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 138 | 137 | $3K |
| 99385 | <1% | 13 | 13 | $2K | |
| 90686 | <1% | 127 | 126 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | 52 | $771.22 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | 15 | $613.24 |
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 officialORTIZ, DONALD (PARTNER)