Clinic
Sierra Vista Hospital
Sierra Vista Hospital was paid $2.62M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSIERRA VISTA HOSPITAL
TRUTH OR CONSEQUENCES, NM 87901
TRUTH OR CONSEQUENCES, NM 87901
33aNPI1689638942assigned 04/13/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.62M
24GClaims24,486
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in New Mexico
Rank by total paid#6 of 11
Median peer was paid$2.62M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 5,347 | $608K | |
| 2019 | 3,335 | $280K | |
| 2020 | 2,646 | $165K | |
| 2021 | 3,985 | $439K | |
| 2022 | 3,519 | $359K | |
| 2023 | 3,611 | $451K | |
| 2024incomplete | 2,043 | $322K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 12,358 | 10,621 | $1.40M |
| 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 | 26% | 4,764 | 4,099 | $685K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.5% | 2,769 | 1,613 | $224K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 890 | 814 | $82K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 636 | 350 | $76K |
| 99442 | 1.0% | 218 | 210 | $28K | |
| 99441 | <1% | 272 | 254 | $20K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,082 | 1,076 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 119 | 119 | $19K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 154 | 123 | $18K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 488 | 141 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 250 | 230 | $13K |
13 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 85 | $9K |
| 99443 | <1% | 63 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 80 | $2K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 104 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $920.46 |
| 90658 | <1% | 23 | $388.80 | |
| 93000 | <1% | 18 | $272.91 | |
| 87081 | <1% | 14 | $79.52 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $59.58 |
| 81003 | <1% | 14 | $24.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 12 | $19.67 |
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 officialFAULKNER, DAVID (INTERIM CEO)
Parent organizationSIERRA VISTA HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Sierra Vista Hospital | Truth Or Consequences, NM | $15.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.