Chest Medicine of New Mexico, PC
Chest Medicine of New Mexico, PC was paid $190K by Medicaid between Jan 2018 and Jun 2020, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 43% of everything it billed.
33Billing provider infoCHEST MEDICINE OF NEW MEXICO, PC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1720123847assigned 02/20/2007
33bProvider typeSpecialist
28Total paid$190K
24GClaims4,096
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Specialist providers in New Mexico
Rank by total paid#30 of 53
Median peer was paid$279K
This provider vs. median0.7×
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 | 1,665 | $64K | |
| 2019 | 1,991 | $97K | |
| 2020 | 440 | $28K |
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 | 43% | 1,430 | 711 | $82K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 43% | 1,876 | 584 | $81K |
| 99223 | Prolong inpt eval add15 m | 11% | 175 | 166 | $22K |
| 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 | 2.6% | 79 | 76 | $5K |
| 94618 | <1% | 12 | 12 | $209.70 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 199 | 192 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 47 | 44 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 53 | 52 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 16 | 16 | $0.00 |
| 3023F | 0% | 14 | 13 | $0.00 | |
| 1036F | 0% | 138 | 132 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 57 | 53 | $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 officialDORF, JEFFREY (PRESIDENT)