Behavioral
Lovelace Health System, INC.
Lovelace Health System, INC. was paid $2.63M by Medicaid between Jan 2018 and Sep 2022, across 26 billing codes. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 18% of everything it billed.
33Billing provider infoLOVELACE HEALTH SYSTEM, INC.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1821240201assigned 10/16/2008
33bProvider typePsychologist
28Total paid$2.63M
24GClaims48,972
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Psychologist providers in New Mexico
Rank by total paid#3 of 20
Median peer was paid$47K
This provider vs. median56×
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 | 14,278 | $656K | |
| 2019 | 14,996 | $753K | |
| 2020 | 14,681 | $867K | |
| 2021 | 2,799 | $193K | |
| 2022 | 2,218 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 18% | 7,045 | 6,882 | $477K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 8,253 | 2,703 | $451K |
| 76819 | Fetal biophysical profile; without non-stress testing | 17% | 8,290 | 6,763 | $445K |
| 76820 | 12% | 8,607 | 6,936 | $319K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 6.6% | 1,696 | 1,604 | $174K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.2% | 1,449 | 1,431 | $163K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.0% | 3,438 | 3,327 | $157K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.8% | 2,842 | 2,165 | $127K |
| 76825 | 4.5% | 1,438 | 1,397 | $118K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.2% | 1,378 | 1,313 | $84K |
| 76801 | 1.1% | 550 | 539 | $28K | |
| 76813 | 1.0% | 481 | 472 | $28K |
14 more codes
| 99205 | Prolong outpt/office vis | <1% | 113 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 189 | $9K |
| 93325 | <1% | 2,101 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 241 | $7K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 101 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 64 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 471 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 27 | $2K |
| 76821 | <1% | 58 | $2K | |
| 76826 | <1% | 77 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $739.47 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 13 | $455.58 |
| 93018 | <1% | 14 | $122.58 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | $59.93 |
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 officialSTERN, RON (PRESIDENT & CEO)
Parent organizationARDENT HEALTH SERVICES