Optumcare New Mexico, LLC

Optumcare New Mexico, LLC was paid $241K by Medicaid between Jan 2018 and Jan 2024, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 59% of everything it billed.

33Billing provider infoOPTUMCARE NEW MEXICO, LLC
ALBUQUERQUE, NM 87109

33aNPI1588947485assigned 09/27/2011

33bProvider typeEyewear Supplier

28Total paid$241K

24GClaims8,011

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Eyewear Supplier providers in New Mexico

Rank by total paid#5 of 23

Median peer was paid$56K

This provider vs. median4.3×

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
2018	1,573	$44K
2019	2,224	$64K
2020	1,495	$42K
2021	1,897	$55K
2022	693	$22K
2023	117	$11K
2024incomplete	12	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	59%	1,963	1,961	$143K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14%	898	887	$33K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	10%	294	294	$25K
V2020	Frames, purchases	7.8%	801	798	$19K
V2025	Deluxe frame	4.9%	498	497	$12K
92340	Fitting of spectacles, except for aphakia; monofocal	1.8%	1,543	1,529	$4K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.2%	51	51	$3K
92015	Determination of refractive state	<1%	1,963	1,961	$2K

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 officialLIETHEN, JOHN (SECRETARY)

Same official

Other billing entities under LIETHEN, JOHN

Full network →

Provider	Location	Paid
Healthcare Partners Asc-Hb, LLC	Huntington Beach, CA	$4.05M
Talbert Medical Group, P.C.	Fountain Valley, CA	$4.00M
Davita Medical Group Talbert California, P.C.	Anaheim, CA	$3.74M
Talbert Medical Group, P.C.	Huntington Beach, CA	$3.73M
Optumcare Colorado Asc, LLC	Colorado Springs, CO	$87K
Arta Western California, INC.	Irvine, CA	$31K
Talbert Medical Group, P.C.	Santa Ana, CA	$10K
Optumcare Endoscopy Center New Mexico, LLC	Albuquerque, NM	$9K
Talbert Medical Group, P.C.	Compton, CA	$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.