NP / PA
Elite Primary Care LLC
Elite Primary Care LLC was paid $5.70M by Medicaid between May 2019 and Dec 2024, across 29 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.
33Billing provider infoELITE PRIMARY CARE LLC
LAS CRUCES, NM 88011
LAS CRUCES, NM 88011
33aNPI1669945002assigned 01/08/2019
33bProvider typeFamily Nurse Practitioner
28Total paid$5.70M
24GClaims71,449
24DCodes billed29
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New Mexico
Rank by total paid#2 of 73
Median peer was paid$90K
This provider vs. median63×
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
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 | |
|---|---|---|---|
| 2019 | 1,407 | $116K | |
| 2020 | 7,234 | $458K | |
| 2021 | 6,860 | $470K | |
| 2022 | 15,823 | $1.03M | |
| 2023 | 20,901 | $1.72M | |
| 2024incomplete | 19,224 | $1.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 40% | 21,936 | 7,604 | $2.28M |
| 99223 | Prolong inpt eval add15 m | 20% | 6,561 | 6,185 | $1.13M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 18% | 24,789 | 6,654 | $1.01M |
| 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 | 8.4% | 4,392 | 3,688 | $480K |
| 99310 | Prolong nursin fac eval 15m | 4.2% | 4,810 | 2,041 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 2,564 | 1,927 | $147K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 624 | 139 | $67K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.1% | 827 | 766 | $61K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,650 | 579 | $55K |
| 99349 | <1% | 600 | 519 | $49K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 438 | 108 | $35K |
| 99306 | Prolong nursin fac eval 15m | <1% | 348 | 336 | $29K |
17 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 359 | $25K |
| 99205 | Prolong outpt/office vis | <1% | 119 | $24K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 198 | $22K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 340 | $12K |
| 97597 | <1% | 164 | $12K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 306 | $7K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 67 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 93000 | <1% | 122 | $2K | |
| 90674 | <1% | 28 | $601.25 | |
| 80305 | <1% | 51 | $428.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $410.01 |
| 86580 | <1% | 34 | $230.85 | |
| 82075 | <1% | 22 | $225.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 21 | $209.82 |
| 82947 | <1% | 15 | $52.88 | |
| H0001 | Alcohol and/or drug assessment | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, JAIME (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Elite Primary Care, LLC | Las Cruces, NM | $1.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.