Physician
San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $346K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoSAN JUAN REGIONAL MEDICAL CENTER INC
BLOOMFIELD, NM 87413
BLOOMFIELD, NM 87413
33aNPI1508219916assigned 07/20/2016
33bProvider typeFamily Medicine Physician
28Total paid$346K
24GClaims6,558
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Family Medicine Physician providers in New Mexico
Rank by total paid#55 of 148
Median peer was paid$167K
This provider vs. median2.1×
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 | 2,717 | $155K | |
| 2019 | 2,785 | $136K | |
| 2020 | 1,056 | $54K |
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 | 54% | 3,502 | 3,374 | $188K |
| 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 | 29% | 1,294 | 1,262 | $102K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 415 | 409 | $37K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 942 | 932 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 345 | 316 | $5K |
| 81003 | <1% | 48 | 45 | $70.63 | |
| 81002 | <1% | 12 | 12 | $38.43 |
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 officialMILLER, KAREN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Progressive Residential Services, INC. | Bloomfield Hills, MI | $33.55M |
| Montgomery Hospice INC | Rockville, MD | $10.27M |
| Salida Hospital District | Buena Vista, CO | $1.98M |
| DRS. Miller & Madden, P.A. | Catonsville, MD | $149K |
| Gulf Coast Therapy Works, LLC | Fairhope, AL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.