Clinic
Nexus Health
Nexus Health was paid $195K by Medicaid between Jan 2023 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoNEXUS HEALTH
SANTA FE, NM 87507
SANTA FE, NM 87507
33aNPI1801516489assigned 09/01/2022
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$195K
24GClaims2,146
24DCodes billed10
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New Mexico
Rank by total paid#12 of 15
Median peer was paid$718K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 1,002 | $84K | |
| 2024incomplete | 1,144 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 1,509 | 1,331 | $136K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 218 | 183 | $30K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 8.1% | 154 | 125 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 44 | 43 | $7K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 135 | 118 | $1K |
| 17110 | <1% | 12 | 12 | $1K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 31 | 27 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | 14 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | 12 | $20.40 |
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 officialMCKINNEY, NICOLE (EXECUTIVE DIRECTOR)