Lovelace Health System LLC
Lovelace Health System LLC was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
ROSWELL, NM 88201
Next to other Family Medicine Physician providers in New Mexico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 704 | $81K | |
| 2019 | 1,548 | $188K | |
| 2020 | 1,177 | $169K | |
| 2021 | 1,530 | $273K | |
| 2022 | 2,085 | $335K | |
| 2023 | 4,772 | $266K | |
| 2024incomplete | 3,267 | $155K |
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 | 42% | 3,237 | 2,881 | $612K |
| 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 | 34% | 2,815 | 2,657 | $505K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 649 | 600 | $111K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 424 | 417 | $55K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.7% | 320 | 319 | $54K |
| 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 | 3.4% | 304 | 302 | $50K |
| 3008F | <1% | 1,920 | 1,789 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | 85 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 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 | <1% | 71 | 69 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 527 | 265 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 269 | 257 | $5K |
27 more codes
| 99221 | <1% | 72 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 565 | $5K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 32 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 104 | $4K |
| 99460 | <1% | 54 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 15 | $3K |
| 99442 | <1% | 12 | $3K | |
| 99490 | Ccm add 20min | <1% | 43 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 21 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 20 | $1K |
| 90461 | <1% | 12 | $964.93 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $962.45 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | $382.87 |
| 90686 | <1% | 28 | $234.48 | |
| 81002 | <1% | 21 | $54.90 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 13 | $1.92 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 15 | $1.15 |
| 3077F | 0% | 304 | $0.00 | |
| 3078F | 0% | 951 | $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 | 0% | 13 | $0.00 |
| 3080F | 0% | 151 | $0.00 | |
| 3074F | 0% | 840 | $0.00 | |
| 3044F | 0% | 271 | $0.00 | |
| 3075F | 0% | 252 | $0.00 | |
| 3079F | 0% | 329 | $0.00 | |
| 97802 | 0% | 12 | $0.00 | |
| 1123F | 0% | 141 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.