San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $3.57M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.
FARMINGTON, NM 87401
Next to other Hospitalist Physician providers in New Mexico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,527 | $212K | |
| 2019 | 3,949 | $202K | |
| 2020 | 5,125 | $363K | |
| 2021 | 9,887 | $859K | |
| 2022 | 8,295 | $632K | |
| 2023 | 6,762 | $603K | |
| 2024incomplete | 6,873 | $698K |
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 | 46% | 22,232 | 10,761 | $1.64M |
| 99223 | Prolong inpt eval add15 m | 16% | 4,329 | 4,184 | $568K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 4,061 | 1,923 | $545K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 9,008 | 4,035 | $373K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.7% | 4,053 | 3,950 | $311K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 505 | 492 | $48K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 200 | 191 | $21K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 135 | 131 | $20K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 376 | 363 | $20K |
| 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 | <1% | 170 | 170 | $13K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 74 | 73 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 136 | 87 | $3K |
3 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| San Juan Regional Medical Center INC | Farmington, NM | $23.73M |
| San Juan Regional Medical Center INC | Farmington, NM | $15.60M |
| San Juan Regional Medical Center INC | Farmington, NM | $7.87M |
| San Juan Regional Medical Center INC | Farmington, NM | $2.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.43M |
| San Juan Regional Medical Center INC | Aztec, NM | $1.34M |
| San Juan Regional Medical Center INC | Farmington, NM | $933K |
| San Juan Regional Medical Center INC | Farmington, NM | $544K |
| San Juan Regional Medical Center INC | Farmington, NM | $358K |
| San Juan Regional Medical Center INC | Farmington, NM | $330K |
| San Juan Regional Medical Center INC | Farmington, NM | $69K |
| San Juan Regional Medical Center INC | Farmington, NM | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.