Medicaid Provider Spending

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

ROSWELL CLINIC CORP

NPI: 1649267618 · ROSWELL, NM 88201 · Internal Medicine Physician · NPI assigned 10/04/2005

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

Authorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more

$14.65M
Total Medicaid Paid
429,023
Total Claims
390,664
Beneficiaries
148
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, JENNIFER (SENIOR DIRECTOR, ENROLLMENT)
Parent OrganizationROSWELL CLINIC CORP
NPI Enumeration Date10/04/2005

Related Entities

Other providers sharing the same authorized official: JACKSON, JENNIFER

ProviderCityStateTotal Paid
LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCES NM $62.87M
PECOS VALLEY OF NEW MEXICO, LLC CARLSBAD NM $6.43M
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC CORSICANA TX $4.25M
FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC FLOWOOD MS $2.83M
STATESVILLE HMA MEDICAL GROUP, LLC STATESVILLE NC $2.68M
HEARTLAND COUNSELING SERVICES, INC. SOUTH SIOUX CITY NE $2.31M
MOORESVILLE PPM LLC MOORESVILLE NC $1.35M
SCRANTON QUINCY AMBULANCE LLC SCRANTON PA $1.35M
BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC SPRING HILL FL $1.14M
INTERMOUNTAIN MEDICAL GROUP, INC KINGSTON PA $1.09M
ROSWELL HOSPITAL CORPORATION ROSWELL NM $714K
WOODWARD CLINIC COMPANY, LLC WOODWARD OK $598K
BILOXI HMA PHYSICIAN MANAGEMENT LLC BILOXI MS $585K
SOUTH ARKANSAS PHYSICIAN SERVICES LLC EL DORADO AR $495K
KEY WEST HMA PHYSICIAN MANAGEMENT, LLC CUDJOE KEY FL $406K
MOORESVILLE PPM LLC MOORESVILLE NC $385K
HEARTLAND COUNSELING SERVICES, INC. ONEILL NE $295K
NORTHWEST CARDIOLOGY LLC TUCSON AZ $265K
GREENBRIER VALLEY EMERGENCY PHYSICIANS LLC RONCEVERTE WV $224K
STATESBORO HMA PHYSICIAN MANAGEMENT LLC STATESBORO GA $180K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,075 $1.49M
2019 38,912 $1.81M
2020 34,446 $1.79M
2021 58,990 $2.04M
2022 82,572 $2.17M
2023 96,408 $2.52M
2024 78,620 $2.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62,773 56,804 $4.83M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,513 52,503 $3.35M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,459 11,346 $996K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,192 5,121 $724K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,253 5,188 $690K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,049 2,013 $436K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,937 1,923 $371K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,066 2,628 $319K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,770 734 $297K
90792 Psychiatric diagnostic evaluation with medical services 1,929 1,843 $257K
99232 Subsequent hospital care, per day, moderate complexity 3,216 1,757 $189K
99238 Hospital discharge day management, 30 minutes or less 2,455 2,153 $153K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,702 3,634 $151K
99233 Prolong inpt eval add15 m 1,529 1,049 $145K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,304 1,301 $140K
99215 Prolong outpt/office vis 1,025 971 $108K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 463 463 $99K
90472 Immunization administration, each additional vaccine (list separately) 3,987 2,323 $95K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,273 4,225 $88K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,158 2,063 $81K
36415 Collection of venous blood by venipuncture 16,744 15,874 $81K
42820 Tonsillectomy and adenoidectomy; younger than age 12 286 286 $75K
J1050 Injection, medroxyprogesterone acetate, 1 mg 774 763 $65K
87428 861 839 $60K
93000 5,046 4,853 $54K
81025 6,585 6,398 $54K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,331 2,992 $52K
99460 757 479 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,823 1,650 $49K
73630 1,769 1,559 $46K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 705 694 $41K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 13 $38K
93458 179 175 $35K
99222 Initial hospital care, per day, moderate complexity 341 338 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,617 1,584 $26K
81002 9,114 8,067 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 221 220 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 204 203 $22K
52000 144 138 $19K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 165 165 $17K
91200 1,530 1,520 $16K
93880 671 665 $15K
99442 170 159 $14K
93015 178 175 $13K
69210 395 371 $13K
87807 995 952 $13K
99443 110 100 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 115 114 $12K
90474 489 487 $10K
92567 822 813 $10K
20610 250 240 $9K
99239 Hospital discharge day management, more than 30 minutes 112 107 $9K
J3490 Unclassified drugs 100 99 $9K
51798 884 855 $8K
93297 631 627 $7K
17110 81 81 $6K
99217 101 100 $6K
99225 135 115 $6K
93016 405 395 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 166 159 $5K
99385 24 24 $5K
73562 191 181 $4K
99219 42 42 $4K
54150 39 27 $4K
31231 17 17 $4K
93018 449 438 $4K
99441 65 65 $3K
99422 45 45 $3K
90688 239 238 $3K
90473 155 155 $3K
90686 665 665 $3K
99223 Prolong inpt eval add15 m 14 14 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 47 47 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 84 42 $2K
99454 208 202 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 308 303 $2K
99220 17 17 $2K
20550 37 37 $2K
99462 48 30 $2K
90670 881 878 $2K
17000 52 51 $1K
99457 157 153 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 18 13 $1K
90715 43 43 $1K
90656 72 72 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 119 111 $1K
G0444 Annual depression screening, 5 to 15 minutes 91 88 $986.87
31575 13 13 $930.65
99221 12 12 $849.63
46600 12 12 $780.51
90460 Immunization administration through 18 years of age via any route, first or only component 20 19 $530.86
11100 12 12 $503.43
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 13 $434.89
73564 13 12 $431.20
73610 12 12 $277.91
93017 13 12 $196.92
90633 254 252 $155.22
90734 17 16 $137.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 14 $136.54
90648 1,208 1,203 $129.17
96127 37 37 $125.65
17003 12 12 $120.91
90723 1,254 1,251 $120.17
J1030 Injection, methylprednisolone acetate, 40 mg 15 12 $109.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 47 45 $107.32
90710 193 190 $83.20
94060 12 12 $81.93
J1885 Injection, ketorolac tromethamine, per 15 mg 43 26 $76.72
J0696 Injection, ceftriaxone sodium, per 250 mg 32 32 $69.01
J1100 Injection, dexamethasone sodium phosphate, 1 mg 121 119 $68.21
99453 38 38 $55.32
81000 26 26 $50.12
90680 686 684 $41.60
90651 25 24 $41.60
1160F 7,786 6,955 $41.60
90674 45 45 $25.93
3078F 19,986 18,579 $24.70
3008F 42,853 39,010 $20.80
99499 244 229 $1.50
3075F 4,871 4,706 $0.00
1126F 3,015 2,592 $0.00
1034F 7,219 6,297 $0.00
3079F 10,385 9,900 $0.00
1036F 38,605 34,345 $0.00
3074F 21,159 19,585 $0.00
3080F 3,199 3,019 $0.00
1123F 506 420 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,073 949 $0.00
90677 305 303 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 250 228 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 334 331 $0.00
1125F 535 514 $0.00
0500F 187 187 $0.00
1101F 53 51 $0.00
1170F 75 70 $0.00
99024 73 66 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 44 42 $0.00
1035F 54 50 $0.00
0503F 27 27 $0.00
3077F 6,813 6,372 $0.00
0502F 4,180 3,452 $0.00
1159F 6,084 5,384 $0.00
3725F 1,285 1,250 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 26 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,208 1,923 $0.00
90672 56 56 $0.00
1090F 74 69 $0.00
3288F 60 58 $0.00