Clinic
Roosevelt County Special Hospital District
Roosevelt County Special Hospital District was paid $3.41M by Medicaid between Nov 2019 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
CLOVIS, NM 88101
CLOVIS, NM 88101
33aNPI1578639662assigned 11/28/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.41M
24GClaims43,566
24DCodes billed35
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in New Mexico
Rank by total paid#5 of 11
Median peer was paid$2.62M
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2019 | 205 | $26K | |
| 2020 | 1,809 | $279K | |
| 2021 | 6,392 | $552K | |
| 2022 | 13,873 | $996K | |
| 2023 | 11,206 | $827K | |
| 2024incomplete | 10,081 | $735K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 16,748 | 14,557 | $3.21M |
| 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 | 1.9% | 6,739 | 6,211 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 7,153 | 6,551 | $52K |
| 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% | 1,020 | 1,002 | $21K |
| 81002 | <1% | 648 | 620 | $14K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,287 | 1,263 | $13K |
| 81025 | <1% | 407 | 391 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,511 | 2,437 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 745 | 741 | $4K |
| 80305 | <1% | 162 | 157 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 224 | 219 | $2K |
| 87428 | <1% | 2,164 | 2,097 | $2K |
23 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 757 | $1K |
| 3725F | <1% | 377 | $1K | |
| 90756 | <1% | 26 | $1K | |
| 96127 | <1% | 840 | $918.87 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 40 | $455.28 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 208 | $367.87 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 121 | $356.74 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 192 | $306.57 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 41 | $262.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 165 | $224.89 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $155.36 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | $151.84 |
| 90661 | <1% | 18 | $62.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 154 | $43.56 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $13.68 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 213 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 63 | $0.00 |
| 86756 | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 110 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 37 | $0.00 |
| 87807 | 0% | 25 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 81 | $0.00 |
| 90694 | 0% | 22 | $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 officialBOYER, WILLIAM (CHIEF FINANCIAL OFFICER)
Parent organizationROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
| Provider | Location | Paid |
|---|---|---|
| Roosevelt County Special Hospital District | Portales, NM | $13.24M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.