Physician
New Mexico Primary Care Group P.C.
New Mexico Primary Care Group P.C. was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 19% of everything it billed.
33Billing provider infoNEW MEXICO PRIMARY CARE GROUP P.C.
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1528201597assigned 04/07/2009
33bProvider typeInternal Medicine Physician
28Total paid$3.17M
24GClaims71,383
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Mexico
Rank by total paid#4 of 53
Median peer was paid$93K
This provider vs. median34×
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 | 12,746 | $706K | |
| 2019 | 13,768 | $697K | |
| 2020 | 11,846 | $584K | |
| 2021 | 10,743 | $421K | |
| 2022 | 10,122 | $363K | |
| 2023 | 9,069 | $297K | |
| 2024incomplete | 3,089 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 19% | 1,705 | 401 | $617K |
| 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 | 16% | 5,541 | 5,302 | $509K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 8,488 | 7,765 | $496K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.1% | 1,863 | 1,803 | $226K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 1,575 | 1,569 | $162K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 1,104 | 1,082 | $113K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 2,285 | 2,269 | $106K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 4,877 | 4,815 | $104K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 837 | 832 | $83K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.3% | 257 | 253 | $73K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.1% | 2,291 | 2,227 | $65K |
| 99173 | 1.9% | 1,610 | 1,605 | $59K |
82 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,254 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 3,142 | $44K |
| 99443 | 1.2% | 275 | $38K | |
| 80061 | Lipid panel | 1.1% | 2,617 | $34K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,958 | $30K |
| 84481 | <1% | 1,766 | $29K | |
| 92552 | <1% | 1,667 | $27K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,164 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,454 | $23K |
| 80050 | General health panel | <1% | 430 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 195 | $19K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 196 | $17K |
| 84439 | <1% | 1,983 | $17K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 499 | $17K |
| 99072 | <1% | 432 | $17K | |
| 90838 | <1% | 134 | $15K | |
| 69210 | <1% | 333 | $15K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,956 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 120 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,206 | $11K |
| 99417 | Prolong home eval add 15m | <1% | 422 | $9K |
| 90674 | <1% | 461 | $9K | |
| 83721 | <1% | 980 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 75 | $7K |
| 99442 | <1% | 46 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 179 | $4K |
| 82043 | <1% | 660 | $4K | |
| 99490 | Ccm add 20min | <1% | 279 | $3K |
| 82570 | <1% | 658 | $3K | |
| 99401 | <1% | 152 | $3K | |
| 96160 | <1% | 655 | $3K | |
| 99381 | <1% | 15 | $2K | |
| 97803 | <1% | 160 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 82607 | <1% | 110 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 22 | $1K |
| 96161 | <1% | 256 | $1K | |
| 82670 | <1% | 40 | $1K | |
| 99354 | <1% | 13 | $958.81 | |
| 90836 | <1% | 12 | $894.92 | |
| 84403 | <1% | 28 | $651.29 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $594.85 |
| 90680 | <1% | 510 | $474.29 | |
| 99051 | <1% | 55 | $342.82 | |
| 90756 | <1% | 18 | $330.43 | |
| 85027 | <1% | 36 | $277.11 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $266.91 |
| 87807 | <1% | 15 | $175.16 | |
| 99188 | <1% | 31 | $161.25 | |
| 96127 | <1% | 26 | $107.46 | |
| 90686 | <1% | 881 | $104.48 | |
| 90648 | <1% | 614 | $98.98 | |
| 90633 | <1% | 370 | $31.76 | |
| 90700 | <1% | 25 | $28.68 | |
| 81002 | <1% | 14 | $26.43 | |
| 90670 | <1% | 987 | $4.15 | |
| 90688 | <1% | 255 | $2.41 | |
| 90687 | <1% | 200 | $1.96 | |
| 90723 | <1% | 210 | $1.29 | |
| 90698 | <1% | 41 | $0.13 | |
| 90651 | <1% | 25 | $0.12 | |
| 90716 | <1% | 26 | $0.11 | |
| 90707 | <1% | 26 | $0.10 | |
| 90710 | <1% | 38 | $0.09 | |
| 3074F | <1% | 892 | $0.02 | |
| 3008F | 0% | 792 | $0.00 | |
| 3079F | 0% | 278 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 1170F | 0% | 26 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| 4010F | 0% | 18 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 1036F | 0% | 14 | $0.00 | |
| 1159F | 0% | 350 | $0.00 | |
| 1160F | 0% | 334 | $0.00 | |
| 3078F | 0% | 519 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 53 | $0.00 |
| 1158F | 0% | 15 | $0.00 |
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 officialSHANBHAG, SANGEETH (PRESIDENT)