Physician
Cibola General Hospital Corporation
Cibola General Hospital Corporation was paid $6.40M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCIBOLA GENERAL HOSPITAL CORPORATION
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1457675266assigned 03/23/2010
33bProvider typeFamily Medicine Physician
28Total paid$6.40M
24GClaims69,885
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#12 of 148
Median peer was paid$167K
This provider vs. median38×
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 | 3,424 | $151K | |
| 2019 | 4,019 | $170K | |
| 2020 | 9,830 | $706K | |
| 2021 | 12,415 | $1.16M | |
| 2022 | 14,654 | $1.78M | |
| 2023 | 14,144 | $1.36M | |
| 2024incomplete | 11,399 | $1.07M |
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 | 45% | 21,847 | 19,414 | $2.85M |
| 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 | 15% | 6,371 | 5,742 | $979K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 3,731 | 3,311 | $542K |
| 99000 | 4.0% | 4,629 | 4,335 | $258K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 1,804 | 1,664 | $200K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 1,203 | 1,105 | $182K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,404 | 1,347 | $168K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 5,616 | 5,388 | $149K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 824 | 783 | $125K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 732 | 712 | $111K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 773 | 754 | $101K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.3% | 1,103 | 947 | $81K |
51 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 2,309 | $80K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 2,582 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 521 | $66K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 391 | $60K |
| 99205 | Prolong outpt/office vis | <1% | 387 | $56K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 325 | $49K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,402 | $32K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,092 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,094 | $25K |
| 99173 | <1% | 727 | $23K | |
| 90461 | <1% | 448 | $16K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 86 | $16K |
| 90686 | <1% | 1,648 | $12K | |
| 96127 | <1% | 678 | $11K | |
| 92551 | <1% | 532 | $11K | |
| 99024 | <1% | 91 | $8K | |
| 87807 | <1% | 298 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 55 | $7K |
| 3044F | <1% | 230 | $7K | |
| 99381 | <1% | 40 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 605 | $5K |
| 81002 | <1% | 371 | $5K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 76 | $3K |
| 81000 | <1% | 426 | $3K | |
| 87430 | <1% | 125 | $3K | |
| 1126F | <1% | 265 | $3K | |
| 90656 | <1% | 183 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 78 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 12 | $2K |
| 81025 | <1% | 126 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 182 | $2K |
| 1125F | <1% | 97 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 26 | $2K |
| 1160F | <1% | 497 | $2K | |
| 90473 | <1% | 101 | $1K | |
| 99384 | <1% | 14 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 29 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 90715 | <1% | 77 | $1K | |
| 96161 | <1% | 236 | $1K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 698 | $879.01 |
| 90480 | <1% | 65 | $752.87 | |
| 85018 | <1% | 19 | $683.76 | |
| V5008 | Hearing screening | <1% | 23 | $552.08 |
| 86769 | <1% | 13 | $505.56 | |
| 94760 | <1% | 48 | $472.45 | |
| 1159F | <1% | 426 | $376.90 | |
| 92552 | <1% | 12 | $260.00 | |
| 96160 | <1% | 40 | $67.48 | |
| 82962 | <1% | 16 | $43.98 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $35.00 |
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 officialROJAS, DONNA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Cibola General Hospital Corporation | Grants, NM | $26.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.