Clinic
Unm Hospital
Unm Hospital was paid $17.62M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 63% of everything it billed.
33Billing provider infoUNM HOSPITAL
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
33aNPI1447464664assigned 05/09/2007
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$17.62M
24GClaims644,742
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New Mexico
Rank by total paid#1 of 5
Median peer was paid$2.54M
This provider vs. median6.9×
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 | 101,027 | $2.36M | |
| 2019 | 113,862 | $3.00M | |
| 2020 | 110,608 | $2.77M | |
| 2021 | 101,422 | $2.65M | |
| 2022 | 89,101 | $2.76M | |
| 2023 | 73,833 | $2.35M | |
| 2024incomplete | 54,889 | $1.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 63% | 609,559 | 22,319 | $11.14M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19% | 6,922 | 6,217 | $3.26M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.1% | 4,919 | 4,430 | $1.26M |
| G0378 | Hospital observation service, per hour | 6.9% | 2,325 | 2,146 | $1.21M |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.2% | 987 | 972 | $214K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.1% | 597 | 536 | $194K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,196 | 1,806 | $80K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,881 | 3,905 | $55K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,546 | 873 | $50K |
| 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 | <1% | 957 | 872 | $46K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,320 | 1,242 | $32K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 262 | 73 | $19K |
22 more codes
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,825 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 609 | $11K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 662 | $10K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 341 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 244 | $6K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 118 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 76 | $2K |
| 80305 | <1% | 1,906 | $2K | |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 1,601 | $1K |
| 81025 | <1% | 93 | $787.76 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $696.83 |
| Q3014 | Telehealth originating site facility fee | <1% | 139 | $440.31 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 150 | $332.49 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 56 | $317.93 |
| 36415 | Collection of venous blood by venipuncture | <1% | 81 | $194.63 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 66 | $172.43 |
| 90785 | <1% | 46 | $131.12 | |
| 82075 | <1% | 15 | $127.20 | |
| 80053 | Comprehensive metabolic panel | <1% | 41 | $74.94 |
| 80061 | Lipid panel | <1% | 40 | $73.32 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 113 | $68.34 |
| J3490 | Unclassified drugs | <1% | 19 | $8.72 |
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 officialWHITE, BONNIE (CHIEF FINANCIAL OFFICER)
Parent organizationUNM HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Unm Hospital | Albuquerque, NM | $463.29M |
| Unm Hospital | Albuquerque, NM | $283K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.