Medicaid Provider Spending

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

UNM SANDOVAL REGIONAL MEDICAL CENTER, INC

NPI: 1649556200 · RIO RANCHO, NM 87144 · General Acute Care Hospital · NPI assigned 10/27/2011

$27.38M
Total Medicaid Paid
526,159
Total Claims
465,161
Beneficiaries
262
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSILVA-STEELE, JAMIE (CEO)
NPI Enumeration Date10/27/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103,003 $4.92M
2019 83,669 $4.00M
2020 63,273 $2.91M
2021 77,253 $3.51M
2022 89,768 $5.12M
2023 109,193 $6.92M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,529 18,421 $3.03M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,237 33,071 $2.93M
99284 Emergency department visit for the evaluation and management, high severity 12,313 11,390 $2.68M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,059 4,768 $1.56M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,591 4,375 $1.45M
G0378 Hospital observation service, per hour 2,826 2,435 $1.36M
70450 Computed tomography, head or brain; without contrast material 3,627 3,423 $798K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,911 8,714 $625K
80048 Basic metabolic panel (calcium, ionized) 29,540 23,383 $504K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,521 4,372 $425K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,397 3,255 $411K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,159 9,207 $391K
96375 Therapeutic injection; each additional sequential IV push 6,820 5,878 $364K
71275 Computed tomographic angiography, chest, with contrast material 927 891 $356K
71046 Radiologic examination, chest; 2 views 6,351 6,038 $344K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 878 860 $311K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,155 2,433 $306K
96361 Intravenous infusion, hydration; each additional hour 2,837 2,364 $295K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 284 268 $285K
71260 Computed tomography, thorax, diagnostic; with contrast material 882 856 $253K
20610 1,768 1,604 $230K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,408 2,018 $222K
73562 2,603 2,374 $222K
80076 14,811 13,121 $215K
85027 23,091 19,433 $205K
Q3014 Telehealth originating site facility fee 5,159 4,694 $192K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,658 7,248 $181K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,465 1,423 $178K
93976 1,358 1,321 $175K
72125 Computed tomography, cervical spine; without contrast material 700 676 $174K
71045 Radiologic examination, chest; single view 2,884 2,717 $157K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 900 683 $148K
73610 1,429 1,284 $147K
76830 Ultrasound, transvaginal 1,359 1,321 $145K
74176 Computed tomography, abdomen and pelvis; without contrast material 667 644 $145K
95811 177 175 $128K
73130 1,723 1,441 $127K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 233 227 $126K
73630 1,693 1,487 $124K
J7120 Ringers lactate infusion, up to 1000 cc 9,946 8,652 $120K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,542 1,301 $119K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,276 2,983 $112K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,318 7,602 $111K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 246 236 $108K
84443 Thyroid stimulating hormone (TSH) 4,642 4,519 $106K
36415 Collection of venous blood by venipuncture 11,365 10,470 $105K
84484 6,931 4,968 $105K
73030 1,201 1,076 $105K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,724 2,671 $104K
84702 4,196 3,932 $103K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,993 3,169 $101K
96376 2,978 2,200 $101K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 558 545 $99K
83690 10,146 9,178 $95K
C1776 Joint device (implantable) 43 42 $94K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,816 1,763 $89K
76700 Ultrasound, abdominal, real time with image documentation; complete 680 656 $87K
77067 Screening mammography, bilateral, including computer-aided detection 680 679 $86K
87086 Culture, bacterial; quantitative colony count, urine 5,653 5,312 $80K
81001 13,213 12,179 $74K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,539 1,468 $73K
83735 7,925 6,744 $72K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,696 1,379 $72K
A9575 Injection, gadoterate meglumine, 0.1 ml 893 861 $69K
73564 627 605 $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 877 839 $64K
J7030 Infusion, normal saline solution , 1000 cc 7,417 6,286 $64K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 784 754 $63K
87040 2,068 1,411 $62K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,539 1,468 $61K
83605 4,027 3,275 $60K
82077 1,579 1,437 $58K
J3490 Unclassified drugs 3,849 3,313 $57K
76705 Ultrasound, abdominal, real time with image documentation; limited 427 415 $55K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 525 519 $55K
73110 730 628 $55K
J2704 Injection, propofol, 10 mg 3,508 3,360 $54K
73502 837 804 $54K
83036 Hemoglobin; glycosylated (A1C) 4,187 4,074 $52K
94761 2,003 1,356 $51K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 564 430 $49K
36000 3,619 3,461 $49K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,091 1,050 $46K
93975 282 276 $45K
70498 97 95 $45K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 791 760 $44K
80061 Lipid panel 2,785 2,729 $44K
51798 908 878 $44K
84100 6,574 5,767 $41K
49083 160 89 $41K
72100 423 417 $41K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 566 550 $41K
90837 Psychotherapy, 53 minutes with patient 304 247 $39K
86850 2,142 1,954 $38K
97161 1,644 1,587 $38K
83880 1,219 1,150 $36K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,807 6,776 $35K
76000 245 239 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters 40 39 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 604 589 $29K
76942 220 211 $28K
77080 364 362 $28K
87077 2,278 2,166 $28K
93971 270 264 $27K
71250 168 164 $27K
80053 Comprehensive metabolic panel 3,190 3,031 $26K
86140 3,883 3,597 $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 486 470 $25K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 65 60 $24K
80143 857 794 $24K
J0690 Injection, cefazolin sodium, 500 mg 3,346 2,762 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,294 1,247 $23K
73590 316 284 $23K
80179 814 755 $23K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,547 1,503 $23K
36561 14 14 $22K
87186 1,807 1,719 $22K
85610 4,434 3,977 $22K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,316 2,133 $21K
84439 1,793 1,747 $21K
82728 1,279 1,244 $21K
90715 953 919 $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 1,906 1,765 $20K
J3010 Injection, fentanyl citrate, 0.1 mg 5,976 5,575 $20K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,969 6,954 $20K
94760 2,455 1,959 $20K
70496 46 45 $19K
73080 242 227 $19K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 56 55 $19K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,199 1,142 $18K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,262 970 $18K
99281 Emergency department visit for the evaluation and management, self-limited or minor 301 296 $17K
85379 1,133 1,097 $17K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 474 278 $17K
82805 182 165 $15K
J7050 Infusion, normal saline solution, 250 cc 1,839 1,590 $14K
82607 781 765 $14K
85730 1,823 1,738 $14K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,109 3,847 $14K
70486 68 65 $13K
C9290 Injection, bupivacaine liposome, 1 mg 39 38 $13K
85652 3,461 3,222 $13K
J3475 Injection, magnesium sulfate, per 500 mg 1,082 1,024 $12K
88304 353 343 $11K
99152 375 367 $11K
82550 1,343 1,242 $11K
97165 496 481 $11K
82570 1,674 1,623 $11K
J0330 Injection, succinylcholine chloride, up to 20 mg 845 815 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 179 174 $11K
83550 1,012 984 $10K
70551 Magnetic resonance imaging, brain; without contrast material 39 39 $10K
86900 2,428 1,970 $10K
86901 2,587 2,112 $10K
82043 866 853 $10K
73090 117 113 $10K
83970 207 205 $10K
72110 96 94 $10K
G0008 Administration of influenza virus vaccine 549 545 $9K
J2270 Injection, morphine sulfate, up to 10 mg 3,303 2,615 $9K
92504 1,051 1,007 $9K
97535 Self-care/home management training, each 15 minutes 312 247 $9K
86803 365 358 $9K
82746 479 470 $9K
83540 1,085 1,051 $8K
J1170 Injection, hydromorphone, up to 4 mg 2,257 1,832 $8K
76770 65 65 $8K
97116 469 307 $8K
J2560 Injection, phenobarbital sodium, up to 120 mg 223 189 $8K
92557 72 70 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg 4,713 4,533 $7K
94660 77 65 $7K
77063 Screening digital breast tomosynthesis, bilateral 96 96 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $6K
C1769 Guide wire 253 246 $6K
J2795 Injection, ropivacaine hydrochloride, 1 mg 432 421 $6K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 102 100 $6K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 16 16 $6K
97113 41 24 $6K
84134 305 299 $5K
62323 12 12 $5K
76536 57 55 $5K
77091 87 87 $5K
82140 254 232 $5K
87632 21 19 $5K
82565 907 889 $5K
J1650 Injection, enoxaparin sodium, 10 mg 731 360 $5K
J1815 Injection, insulin, per 5 units 335 205 $5K
90686 365 361 $4K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,522 1,373 $4K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 319 307 $4K
72170 38 37 $4K
G0475 Hiv antigen/antibody, combination assay, screening 498 482 $4K
86038 242 241 $4K
88342 70 66 $4K
80074 52 52 $4K
81513 26 26 $3K
90834 Psychotherapy, 45 minutes with patient 32 26 $3K
81002 468 449 $3K
J2550 Injection, promethazine hcl, up to 50 mg 1,009 819 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 102 101 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 155 141 $3K
J1644 Injection, heparin sodium, per 1000 units 457 285 $2K
12001 13 13 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 32 30 $2K
C1788 Port, indwelling (implantable) 12 12 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 30 29 $2K
87641 82 80 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 15 15 $2K
Q2039 Influenza virus vaccine, not otherwise specified 187 184 $2K
J2060 Injection, lorazepam, 2 mg 1,120 943 $2K
84156 440 417 $2K
73560 46 43 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 462 449 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 54 54 $2K
87481 40 40 $2K
87631 15 15 $2K
76642 13 12 $2K
87205 263 244 $1K
86780 63 61 $1K
J1790 Injection, droperidol, up to 5 mg 256 229 $1K
74018 16 16 $1K
92567 27 27 $1K
87340 64 63 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 148 135 $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 32 31 $955.61
84460 150 146 $861.61
84450 150 146 $838.88
76937 12 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 12 12 $785.98
J3480 Injection, potassium chloride, per 2 meq 73 62 $768.18
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 31 28 $695.27
87650 16 16 $607.88
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 48 48 $606.65
86480 14 14 $590.76
J3370 Injection, vancomycin hcl, 500 mg 31 26 $523.34
77001 14 14 $520.34
87338 27 26 $487.45
C9113 Injection, pantoprazole sodium, per vial 127 74 $467.37
J2765 Injection, metoclopramide hcl, up to 10 mg 145 129 $382.51
86225 24 24 $379.63
87210 52 49 $367.70
99153 Mod sedat endo service >5yrs 27 27 $359.15
86160 13 12 $346.30
97164 15 15 $344.86
J1040 Injection, methylprednisolone acetate, 80 mg 24 24 $344.74
J0780 Injection, prochlorperazine, up to 10 mg 39 37 $334.22
J1953 Injection, levetiracetam, 10 mg 14 13 $333.41
86704 24 24 $314.01
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 54 52 $257.65
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 37 26 $254.94
87075 21 12 $228.24
87081 24 15 $227.37
81025 13 13 $168.68
86430 14 13 $158.38
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 55 54 $153.42
85014 56 47 $152.28
J1630 Injection, haloperidol, up to 5 mg 70 68 $133.65
84132 31 31 $114.01
J8540 Dexamethasone, oral, 0.25 mg 26 25 $56.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 27 17 $12.82
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 1,490 1,315 $0.10