Clinic
Nextcare New Mexico LLC
Nextcare New Mexico LLC was paid $17.03M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoNEXTCARE NEW MEXICO LLC
ALBUQUERQUE, NM 87120
ALBUQUERQUE, NM 87120
33aNPI1619300118assigned 08/20/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$17.03M
24GClaims218,643
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New Mexico
Rank by total paid#2 of 26
Median peer was paid$1.29M
This provider vs. median13×
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.
Entity ProliferationAuthorized official KANE, CHRIS controls 20+ related entities in our dataset. Read more
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 | 29,668 | $1.95M | |
| 2019 | 26,026 | $1.89M | |
| 2020 | 21,352 | $1.71M | |
| 2021 | 31,428 | $2.77M | |
| 2022 | 45,841 | $3.41M | |
| 2023 | 33,736 | $2.65M | |
| 2024incomplete | 30,592 | $2.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 71,626 | 69,436 | $6.83M |
| 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 | 19% | 22,733 | 22,284 | $3.24M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 26,527 | 25,837 | $2.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 27,677 | 26,879 | $2.12M |
| S9083 | Global fee urgent care centers | 8.5% | 9,937 | 9,640 | $1.45M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 21,983 | 10,863 | $360K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 17,139 | 16,952 | $283K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 3,848 | 3,786 | $150K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,770 | 2,479 | $48K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 232 | 230 | $16K |
| 81003 | <1% | 10,885 | 10,685 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 664 | 657 | $5K |
18 more codes
| 81025 | <1% | 455 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 310 | $3K |
| 98926 | <1% | 75 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $3K |
| 82962 | <1% | 320 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 430 | $990.18 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 605 | $737.31 |
| 73630 | <1% | 13 | $504.96 | |
| Q3014 | Telehealth originating site facility fee | <1% | 16 | $415.20 |
| 73130 | <1% | 12 | $327.28 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $256.33 |
| 87807 | <1% | 12 | $153.16 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 74 | $92.40 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $70.33 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 29 | $21.37 |
| J7510 | Prednisolone oral, per 5 mg | <1% | 65 | $6.19 |
| 36416 | <1% | 16 | $2.25 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 89 | $1.75 |
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 officialKANE, CHRIS (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Nextcare Arizona LLC | Tempe, AZ | $161.28M |
| Tulsa Emergency Medical Center INC | Tulsa, OK | $23.71M |
| Medical Resource Management, LLC | Edmond, OK | $14.93M |
| Matrix Occupational Health P.C. | Fayetteville, NC | $13.99M |
| Ucp Physicians of Central Texas, PLLC | Georgetown, TX | $12.74M |
| Primamed Physicians PLLC | Dallas, TX | $10.36M |
| Colorado Urgent Care PLLC | Arvada, CO | $5.63M |
| Nextcare Michigan Providers PLLC | Ann Arbor, MI | $4.22M |
| Colorado Urgent Care PLLC | Greeley, CO | $1.40M |
| Colorado Urgent Care PLLC | Thornton, CO | $1.17M |
| Emergent Care Plus of Overland Park, LLC | Leavenworth, KS | $1.15M |
| Colorado Urgent Care PLLC | Aurora, CO | $1.06M |
| Colorado Urgent Care PLLC | Longmont, CO | $916K |
| Nextcare Primary Care Texas PLLC | Abilene, TX | $914K |
| College Drive Urgent Care LLC | Cheyenne, WY | $772K |
| Colorado Urgent Care PLLC | Broomfield, CO | $419K |
| Emergent Care Plus, LLC | Lees Summit, MO | $410K |
| Nextcare Arizona I JV LLC | Tempe, AZ | $273K |
| Nextcare Missouri LLC | Columbia, MO | $227K |
| Ucp Physicians of Central Texas, PLLC | Austin, TX | $163K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.