Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Rio Rancho › NPI 1649556200
Hospital

UNM Sandoval Regional Medical Center, INC

UNM Sandoval Regional Medical Center, INC was paid $27.38M by Medicaid between Jan 2018 and Dec 2023, across 262 billing codes. Its largest line is 99283, emergency room visit (moderate) — 11% of everything it billed.

33Billing provider infoUNM SANDOVAL REGIONAL MEDICAL CENTER, INC
RIO RANCHO, NM 87144
33aNPI1649556200assigned 10/27/2011
28Total paid$27.38M
24GClaims526,159
24DCodes billed262
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other General Acute Care Hospital providers in New Mexico

Rank by total paid#10 of 24
Median peer was paid$20.13M
This provider vs. median1.4×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018103,003$4.92M
201983,669$4.00M
202063,273$2.91M
202177,253$3.51M
202289,768$5.12M
2023109,193$6.92M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 19,529 18,421 $3.03M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 11% 37,237 33,071 $2.93M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.8% 12,313 11,390 $2.68M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.7% 5,059 4,768 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 5.3% 4,591 4,375 $1.45M
G0378 Hospital observation service, per hour 5.0% 2,826 2,435 $1.36M
70450 Computed tomography, head or brain; without contrast material 2.9% 3,627 3,423 $798K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 9,911 8,714 $625K
80048 Basic metabolic panel (calcium, ionized) 1.8% 29,540 23,383 $504K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 4,521 4,372 $425K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.5% 3,397 3,255 $411K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.4% 10,159 9,207 $391K
250 more codes
96375 Therapeutic injection; each additional sequential IV push 1.3% 6,820 $364K
71275 Computed tomographic angiography, chest, with contrast material 1.3% 927 $356K
71046 Radiologic examination, chest; 2 views 1.3% 6,351 $344K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 878 $311K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 6,155 $306K
96361 Intravenous infusion, hydration; each additional hour 1.1% 2,837 $295K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1.0% 284 $285K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 882 $253K
20610 <1% 1,768 $230K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,408 $222K
73562 <1% 2,603 $222K
80076 <1% 14,811 $215K
85027 <1% 23,091 $205K
Q3014 Telehealth originating site facility fee <1% 5,159 $192K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,658 $181K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,465 $178K
93976 <1% 1,358 $175K
72125 Computed tomography, cervical spine; without contrast material <1% 700 $174K
71045 Radiologic examination, chest; single view <1% 2,884 $157K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 900 $148K
73610 <1% 1,429 $147K
76830 Ultrasound, transvaginal <1% 1,359 $145K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 667 $145K
95811 <1% 177 $128K
73130 <1% 1,723 $127K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 233 $126K
73630 <1% 1,693 $124K
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,946 $120K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,542 $119K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,276 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,318 $111K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 246 $108K
84443 Thyroid stimulating hormone (TSH) <1% 4,642 $106K
36415 Collection of venous blood by venipuncture <1% 11,365 $105K
84484 <1% 6,931 $105K
73030 <1% 1,201 $105K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 2,724 $104K
84702 <1% 4,196 $103K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,993 $101K
96376 <1% 2,978 $101K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 558 $99K
83690 <1% 10,146 $95K
C1776 Joint device (implantable) <1% 43 $94K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,816 $89K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 680 $87K
77067 Screening mammography, bilateral, including computer-aided detection <1% 680 $86K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,653 $80K
81001 <1% 13,213 $74K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,539 $73K
83735 <1% 7,925 $72K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 2,696 $72K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 893 $69K
73564 <1% 627 $67K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 877 $64K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,417 $64K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 784 $63K
87040 <1% 2,068 $62K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,539 $61K
83605 <1% 4,027 $60K
82077 <1% 1,579 $58K
J3490 Unclassified drugs <1% 3,849 $57K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 427 $55K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 525 $55K
73110 <1% 730 $55K
J2704 Injection, propofol, 10 mg <1% 3,508 $54K
73502 <1% 837 $54K
83036 Hemoglobin; glycosylated (A1C) <1% 4,187 $52K
94761 <1% 2,003 $51K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 564 $49K
36000 <1% 3,619 $49K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,091 $46K
93975 <1% 282 $45K
70498 <1% 97 $45K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 791 $44K
80061 Lipid panel <1% 2,785 $44K
51798 <1% 908 $44K
84100 <1% 6,574 $41K
49083 <1% 160 $41K
72100 <1% 423 $41K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 566 $41K
90837 Psychotherapy session, about an hour <1% 304 $39K
86850 <1% 2,142 $38K
97161 <1% 1,644 $38K
83880 <1% 1,219 $36K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 7,807 $35K
76000 <1% 245 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 40 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 604 $29K
76942 <1% 220 $28K
77080 <1% 364 $28K
87077 <1% 2,278 $28K
93971 <1% 270 $27K
71250 <1% 168 $27K
80053 Comprehensive metabolic panel <1% 3,190 $26K
86140 <1% 3,883 $25K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 486 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 65 $24K
80143 <1% 857 $24K
J0690 Injection, cefazolin sodium, 500 mg <1% 3,346 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,294 $23K
73590 <1% 316 $23K
80179 <1% 814 $23K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,547 $23K
36561 <1% 14 $22K
87186 <1% 1,807 $22K
85610 <1% 4,434 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,316 $21K
84439 <1% 1,793 $21K
82728 <1% 1,279 $21K
90715 <1% 953 $20K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,906 $20K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,976 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,969 $20K
94760 <1% 2,455 $20K
70496 <1% 46 $19K
73080 <1% 242 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 56 $19K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,199 $18K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,262 $18K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 301 $17K
85379 <1% 1,133 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 474 $17K
82805 <1% 182 $15K
J7050 Infusion, normal saline solution, 250 cc <1% 1,839 $14K
82607 <1% 781 $14K
85730 <1% 1,823 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,109 $14K
70486 <1% 68 $13K
C9290 Injection, bupivacaine liposome, 1 mg <1% 39 $13K
85652 <1% 3,461 $13K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,082 $12K
88304 <1% 353 $11K
99152 <1% 375 $11K
82550 <1% 1,343 $11K
97165 <1% 496 $11K
82570 <1% 1,674 $11K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 845 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 179 $11K
83550 <1% 1,012 $10K
70551 Magnetic resonance imaging, brain; without contrast material <1% 39 $10K
86900 <1% 2,428 $10K
86901 <1% 2,587 $10K
82043 <1% 866 $10K
73090 <1% 117 $10K
83970 <1% 207 $10K
72110 <1% 96 $10K
G0008 Administration of influenza virus vaccine <1% 549 $9K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,303 $9K
92504 <1% 1,051 $9K
97535 Self-care/home management training, each 15 minutes <1% 312 $9K
86803 <1% 365 $9K
82746 <1% 479 $9K
83540 <1% 1,085 $8K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,257 $8K
76770 <1% 65 $8K
97116 <1% 469 $8K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 223 $8K
92557 <1% 72 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 4,713 $7K
94660 <1% 77 $7K
77063 Screening digital breast tomosynthesis, bilateral <1% 96 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 12 $6K
C1769 Guide wire <1% 253 $6K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 432 $6K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 102 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 16 $6K
97113 <1% 41 $6K
84134 <1% 305 $5K
62323 <1% 12 $5K
76536 <1% 57 $5K
77091 <1% 87 $5K
82140 <1% 254 $5K
87632 <1% 21 $5K
82565 <1% 907 $5K
J1650 Injection, enoxaparin sodium, 10 mg <1% 731 $5K
J1815 Injection, insulin, per 5 units <1% 335 $5K
90686 <1% 365 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,522 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 319 $4K
72170 <1% 38 $4K
G0475 Hiv antigen/antibody, combination assay, screening <1% 498 $4K
86038 <1% 242 $4K
88342 <1% 70 $4K
80074 <1% 52 $4K
81513 <1% 26 $3K
90834 Psychotherapy session, about 45 minutes <1% 32 $3K
81002 <1% 468 $3K
J2550 Injection, promethazine hcl, up to 50 mg <1% 1,009 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 102 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 155 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 457 $2K
12001 <1% 13 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 32 $2K
C1788 Port, indwelling (implantable) <1% 12 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 30 $2K
87641 <1% 82 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 15 $2K
Q2039 Influenza virus vaccine, not otherwise specified <1% 187 $2K
J2060 Injection, lorazepam, 2 mg <1% 1,120 $2K
84156 <1% 440 $2K
73560 <1% 46 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 462 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 54 $2K
87481 <1% 40 $2K
87631 <1% 15 $2K
76642 <1% 13 $2K
87205 <1% 263 $1K
86780 <1% 63 $1K
J1790 Injection, droperidol, up to 5 mg <1% 256 $1K
74018 <1% 16 $1K
92567 <1% 27 $1K
87340 <1% 64 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 148 $985.56
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 32 $955.61
84460 <1% 150 $861.61
84450 <1% 150 $838.88
76937 <1% 12 $820.15
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 12 $785.98
J3480 Injection, potassium chloride, per 2 meq <1% 73 $768.18
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 31 $695.27
87650 <1% 16 $607.88
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 48 $606.65
86480 <1% 14 $590.76
J3370 Injection, vancomycin hcl, 500 mg <1% 31 $523.34
77001 <1% 14 $520.34
87338 <1% 27 $487.45
C9113 Injection, pantoprazole sodium, per vial <1% 127 $467.37
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 145 $382.51
86225 <1% 24 $379.63
87210 <1% 52 $367.70
99153 Mod sedat endo service >5yrs <1% 27 $359.15
86160 <1% 13 $346.30
97164 <1% 15 $344.86
J1040 Injection, methylprednisolone acetate, 80 mg <1% 24 $344.74
J0780 Injection, prochlorperazine, up to 10 mg <1% 39 $334.22
J1953 Injection, levetiracetam, 10 mg <1% 14 $333.41
86704 <1% 24 $314.01
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 54 $257.65
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 37 $254.94
87075 <1% 21 $228.24
87081 <1% 24 $227.37
81025 <1% 13 $168.68
86430 <1% 14 $158.38
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 55 $153.42
85014 <1% 56 $152.28
J1630 Injection, haloperidol, up to 5 mg <1% 70 $133.65
84132 <1% 31 $114.01
J8540 Dexamethasone, oral, 0.25 mg <1% 26 $56.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 27 $12.82
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 1,490 $0.10

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 officialSILVA-STEELE, JAMIE (CEO)