Physician
Northwest New Mexico Women's Health Specialists LLC
Northwest New Mexico Women's Health Specialists LLC was paid $561K by Medicaid between Jan 2018 and Oct 2022, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoNORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1427182682assigned 03/16/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$561K
24GClaims13,097
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Mexico
Rank by total paid#6 of 18
Median peer was paid$174K
This provider vs. median3.2×
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 | 2,177 | $66K | |
| 2019 | 1,683 | $61K | |
| 2020 | 1,801 | $104K | |
| 2021 | 3,578 | $161K | |
| 2022 | 3,858 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 3,643 | 3,444 | $217K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 13% | 746 | 713 | $74K |
| 59025 | Fetal non-stress test | 10.0% | 1,539 | 1,170 | $56K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 7.9% | 1,353 | 1,347 | $44K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 7.9% | 1,350 | 1,345 | $44K |
| S9999 | Sales tax | 3.7% | 1,049 | 786 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 218 | 215 | $20K |
| 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 | 2.2% | 146 | 144 | $12K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 12 | 12 | $11K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.9% | 75 | 74 | $11K |
| 81025 | 1.6% | 1,143 | 1,115 | $9K | |
| 76801 | 1.2% | 46 | 45 | $7K |
10 more codes
| 87660 | 1.1% | 341 | $6K | |
| 91122 | 1.1% | 31 | $6K | |
| 87510 | 1.1% | 322 | $6K | |
| 87480 | 1.0% | 321 | $6K | |
| 51784 | <1% | 31 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 81002 | <1% | 590 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $931.76 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 14 | $824.10 |
| 81003 | <1% | 89 | $147.60 |
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 officialHERRERA, JONI (OFFICE MANAGER)