Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LOVELACE HEALTH SYSTEM LLC

NPI: 1609273283 · ROSWELL, NM 88201 · Family Medicine Physician · NPI assigned 11/26/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PETROVICH, STEPHEN controls 20+ related entities in our dataset. Read more

$1.47M
Total Medicaid Paid
15,083
Total Claims
13,847
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETROVICH, STEPHEN (EVP)
Parent OrganizationARDENT LEGACY HOLDINGS, LLC
NPI Enumeration Date11/26/2014

Related Entities

Other providers sharing the same authorized official: PETROVICH, STEPHEN

ProviderCityStateTotal Paid
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $57.71M
LOVELACE HEALTH SYSTEM LLC ALBUQUERQUE NM $45.27M
SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM $41.40M
LOVELACE HEALTH SYSTEM, LLC ALBUQUERQUE NM $31.24M
LOVELACE HEALTH SYSTEM LLC ROSWELL NM $20.13M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $9.41M
HENDERSON HOSPITAL, LLC HENDERSON TX $8.52M
ATHENS HOSPITAL, LLC ATHENS TX $8.32M
ETMC PHYSICIAN GROUP INC. TYLER TX $8.03M
TYLER REGIONAL HOSPITAL LLC TYLER TX $7.94M
LOVELACE UNM REHABILITATION HOSPITAL LLC ALBUQUERQUE NM $6.30M
POCATELLO HOSPITAL LLC POCATELLO ID $6.11M
JACKSONVILLE HOSPITAL LLC JACKSONVILLE TX $5.93M
AHS PRYOR HOSPITAL, LLC PRYOR OK $5.61M
BSA HOSPITAL LLC AMARILLO TX $4.96M
PITTSBURG HOSPITAL LLC PITTSBURG TX $4.83M
AHS CLAREMORE REGIONAL HOSPITAL, LLC. CLAREMORE OK $4.81M
AHS HENRYETTA HOSPITAL LLC HENRYETTA OK $4.27M
PITTSBURG HOSPITAL LLC PITTSBURG TX $3.98M
TOPEKA HOSPITAL, LLC TOPEKA KS $3.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 704 $81K
2019 1,548 $188K
2020 1,177 $169K
2021 1,530 $273K
2022 2,085 $335K
2023 4,772 $266K
2024 3,267 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,237 2,881 $612K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,815 2,657 $505K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 649 600 $111K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 424 417 $55K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 320 319 $54K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 304 302 $50K
3008F 1,920 1,789 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 85 $8K
99238 Hospital discharge day management, 30 minutes or less 120 116 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 71 69 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 527 265 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 269 257 $5K
99221 72 72 $5K
36415 Collection of venous blood by venipuncture 565 535 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 32 32 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 104 103 $4K
99460 54 54 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 15 15 $3K
99442 12 12 $3K
99490 Ccm add 20min 43 43 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 21 20 $2K
99232 Subsequent hospital care, per day, moderate complexity 20 16 $1K
90461 12 12 $964.93
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 13 $962.45
90460 Immunization administration through 18 years of age via any route, first or only component 33 31 $382.87
90686 28 25 $234.48
81002 21 14 $54.90
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 13 12 $1.92
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 15 14 $1.15
3077F 304 288 $0.00
3078F 951 897 $0.00
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 13 13 $0.00
3080F 151 146 $0.00
3074F 840 782 $0.00
3044F 271 247 $0.00
3075F 252 243 $0.00
3079F 329 320 $0.00
97802 12 12 $0.00
1123F 141 119 $0.00