Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNM MEDICAL GROUP INC

NPI: 1831218627 · ALBUQUERQUE, NM 87106 · Trauma Surgery Physician · NPI assigned 03/29/2007

$113.47M
Total Medicaid Paid
2,120,703
Total Claims
1,829,653
Beneficiaries
364
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLAR, JILL (CHIEF OPERATING OFFICER)
NPI Enumeration Date03/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 344,112 $16.51M
2019 327,126 $16.85M
2020 274,830 $14.16M
2021 309,855 $16.07M
2022 325,766 $17.11M
2023 298,929 $17.28M
2024 240,085 $15.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 165,714 163,021 $16.65M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 201,802 193,041 $12.44M
99233 Prolong inpt eval add15 m 100,399 39,546 $8.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 158,907 152,854 $6.88M
99232 Subsequent hospital care, per day, moderate complexity 86,509 41,573 $5.31M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,361 35,825 $5.09M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 35,583 17,815 $4.91M
74177 Computed tomography, abdomen and pelvis; with contrast material 46,690 45,699 $3.54M
99215 Prolong outpt/office vis 33,961 31,901 $2.87M
70450 Computed tomography, head or brain; without contrast material 65,567 60,988 $2.32M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 5,840 1,757 $2.24M
99283 Emergency department visit for the evaluation and management, moderate severity 21,402 21,186 $1.69M
88305 Level IV - Surgical pathology, gross and microscopic examination 27,155 26,495 $1.47M
99480 Subsequent intensive care, per day, low birth weight infant 11,701 3,075 $1.30M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,001 11,887 $1.19M
71045 Radiologic examination, chest; single view 153,006 112,950 $1.16M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 21,974 21,319 $1.10M
99244 Office or other outpatient consultation, moderate to high complexity 8,472 8,340 $1.08M
99238 Hospital discharge day management, 30 minutes or less 14,945 14,717 $1.08M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,550 13,504 $1.03M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 22,043 20,707 $1.01M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 2,502 1,118 $997K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 9,507 9,251 $903K
71260 Computed tomography, thorax, diagnostic; with contrast material 16,879 16,520 $885K
99223 Prolong inpt eval add15 m 5,992 5,840 $861K
99243 9,181 9,117 $846K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,490 10,376 $802K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,326 6,155 $781K
71275 Computed tomographic angiography, chest, with contrast material 10,398 10,132 $753K
99479 Subsequent intensive care, per day, very low birth weight infant 6,381 1,538 $726K
71046 Radiologic examination, chest; 2 views 77,223 72,157 $711K
99222 Initial hospital care, per day, moderate complexity 5,553 5,471 $700K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 11,011 10,163 $695K
76819 Fetal biophysical profile; without non-stress testing 13,695 10,173 $687K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,411 10,283 $672K
72125 Computed tomography, cervical spine; without contrast material 13,431 13,107 $610K
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,306 17,143 $607K
70551 Magnetic resonance imaging, brain; without contrast material 9,339 9,084 $596K
70498 7,374 7,205 $579K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 85,992 69,807 $551K
99239 Hospital discharge day management, more than 30 minutes 5,945 5,786 $534K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,373 2,331 $521K
76770 13,875 13,715 $490K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,241 5,230 $408K
90837 Psychotherapy, 53 minutes with patient 4,330 2,960 $394K
90834 Psychotherapy, 45 minutes with patient 5,316 3,416 $388K
88307 4,301 4,219 $384K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,582 2,511 $383K
76700 Ultrasound, abdominal, real time with image documentation; complete 11,012 10,852 $363K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7,521 7,150 $354K
93976 9,229 9,074 $329K
95720 3,084 1,801 $326K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 6,839 6,594 $310K
90961 6,493 6,292 $297K
99442 5,100 5,007 $293K
77067 Screening mammography, bilateral, including computer-aided detection 6,428 6,386 $264K
99460 2,959 2,888 $260K
74018 33,633 28,653 $259K
99152 10,301 9,784 $258K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 7,646 7,111 $245K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 671 650 $232K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,924 4,189 $225K
99443 2,994 2,921 $222K
95951 828 398 $218K
99253 1,905 1,887 $208K
93320 10,894 10,048 $197K
76801 3,223 3,143 $195K
73130 21,494 18,231 $173K
99254 1,041 1,021 $167K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,313 5,811 $164K
45380 Colonoscopy, flexible; with biopsy, single or multiple 927 879 $163K
90870 1,564 768 $159K
43235 1,142 1,098 $153K
70496 2,190 2,074 $151K
20610 5,656 4,154 $151K
99245 878 868 $150K
H2000 Comprehensive multidisciplinary evaluation 273 270 $150K
42820 Tonsillectomy and adenoidectomy; younger than age 12 512 510 $149K
41899 Unlisted procedure, dentoalveolar structures 222 220 $148K
99468 156 148 $138K
93971 7,217 6,951 $137K
73562 16,835 14,162 $133K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,085 1,967 $132K
73610 16,225 14,729 $131K
43264 641 608 $128K
73630 16,987 14,733 $128K
93970 4,380 4,145 $127K
90847 Family psychotherapy with the patient present, 50 minutes 1,712 1,175 $124K
73110 14,125 12,700 $117K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,450 1,447 $116K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,680 3,577 $113K
90935 Hemodialysis procedure with single evaluation by a physician 3,783 2,096 $111K
76830 Ultrasound, transvaginal 3,285 3,203 $105K
85060 5,039 4,831 $101K
00170 Anesthesia for intraoral procedures, including biopsy 665 660 $101K
72170 12,146 11,846 $100K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,739 1,712 $99K
76813 1,647 1,629 $97K
71250 2,765 2,716 $92K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,210 3,138 $91K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 85 84 $91K
96127 8,246 5,384 $89K
85390 2,765 2,655 $89K
72082 5,677 5,582 $89K
73590 11,506 10,423 $88K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,450 5,430 $86K
92134 6,081 5,589 $85K
90832 Psychotherapy, 30 minutes with patient 1,391 1,127 $82K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 379 368 $82K
31231 993 965 $82K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,829 2,688 $81K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 299 269 $80K
88342 2,238 2,196 $73K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,173 1,161 $72K
73080 8,496 7,881 $71K
99242 994 992 $70K
77063 Screening digital breast tomosynthesis, bilateral 3,644 3,633 $70K
73030 8,886 7,982 $69K
72141 1,086 1,050 $65K
99153 Mod sedat endo service >5yrs 4,903 4,575 $63K
88108 3,452 3,121 $63K
76820 1,766 1,254 $61K
43259 446 428 $60K
99381 475 468 $60K
59025 Fetal non-stress test 1,825 1,150 $59K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 299 282 $59K
73090 7,136 6,468 $57K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,494 2,285 $56K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,299 1,245 $55K
76942 2,202 2,135 $54K
76642 1,671 1,444 $49K
74176 Computed tomography, abdomen and pelvis; without contrast material 773 755 $47K
94010 5,718 5,537 $45K
78815 Positron emission tomography (PET) for limited area imaging 479 466 $44K
86077 1,204 1,127 $43K
90962 1,032 1,011 $43K
93325 13,325 12,281 $42K
84165 3,173 2,968 $40K
67028 Intravitreal injection of a pharmacologic agent 1,104 1,005 $38K
99205 Prolong outpt/office vis 331 326 $38K
76506 1,161 1,033 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,841 1,783 $36K
77073 2,775 2,759 $34K
92133 1,840 1,782 $33K
88304 2,722 2,694 $33K
93295 1,190 1,143 $31K
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) 2,548 2,454 $31K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 143 142 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 664 661 $30K
76536 1,307 1,278 $29K
93298 1,937 1,900 $29K
95718 415 380 $29K
73564 2,960 2,239 $29K
72110 2,354 2,302 $28K
00104 621 383 $27K
70486 741 722 $27K
73552 3,223 2,943 $26K
90791 Psychiatric diagnostic evaluation 197 196 $25K
81025 2,982 2,916 $25K
73221 428 402 $25K
11982 85 85 $24K
90966 407 402 $24K
99462 582 440 $24K
76886 736 717 $24K
99172 543 541 $23K
99441 698 683 $23K
95811 250 245 $23K
95886 520 487 $23K
99476 66 40 $22K
74183 262 256 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters 202 199 $21K
G0452 Molecular pathology procedure; physician interpretation and report 1,306 1,192 $19K
73502 2,364 2,289 $19K
92083 890 874 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 445 325 $18K
77014 840 74 $18K
49083 172 130 $18K
74230 762 733 $18K
77080 2,528 2,486 $17K
99221 218 214 $17K
01810 224 218 $17K
77427 182 76 $16K
90945 536 464 $16K
72100 1,605 1,572 $15K
88312 396 390 $15K
99292 147 106 $15K
76825 177 169 $14K
74178 188 185 $14K
92504 1,210 1,166 $14K
J1050 Injection, medroxyprogesterone acetate, 1 mg 141 139 $13K
94060 1,190 1,175 $13K
67228 67 52 $13K
90734 138 136 $13K
99255 53 51 $12K
25600 67 67 $12K
70491 197 189 $11K
43274 30 27 $11K
90785 2,017 1,932 $11K
93297 998 955 $11K
95812 229 221 $11K
99252 141 140 $10K
73060 1,323 1,228 $10K
93923 700 683 $10K
00142 145 138 $10K
72050 775 753 $9K
72081 695 677 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 499 383 $8K
95813 104 101 $8K
91320 90 88 $8K
43244 43 42 $8K
94729 1,189 1,171 $7K
98968 401 241 $7K
77066 Tomosynthesis, mammo 177 177 $7K
11100 179 168 $7K
77065 Tomosynthesis, mammo 195 193 $7K
36620 143 138 $7K
90836 94 93 $7K
58301 29 29 $6K
64615 71 64 $5K
54161 26 26 $5K
97803 218 216 $5K
77092 982 956 $5K
77075 198 184 $5K
93294 298 295 $5K
64483 42 42 $5K
11721 409 381 $5K
77076 146 130 $5K
64721 23 17 $4K
93272 178 177 $4K
64642 62 60 $4K
90686 259 259 $4K
99173 186 186 $4K
76827 115 108 $4K
51600 34 33 $4K
11981 12 12 $4K
93321 696 678 $4K
99451 89 89 $3K
99477 13 12 $3K
20553 131 122 $3K
92523 12 12 $3K
88341 46 44 $3K
01922 24 24 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 47 47 $3K
11104 59 54 $3K
72197 38 38 $3K
93308 160 155 $3K
92201 179 122 $3K
11012 13 12 $3K
90656 190 189 $3K
72072 298 294 $3K
72158 28 27 $3K
74241 81 75 $3K
99342 31 31 $3K
99384 15 15 $3K
77049 26 25 $3K
74328 146 133 $3K
88112 113 110 $3K
0001A 72 66 $3K
73560 352 329 $2K
92060 67 65 $2K
11102 62 61 $2K
20552 116 105 $2K
93351 36 36 $2K
64643 41 40 $2K
95251 58 58 $2K
26600 15 15 $2K
64450 41 36 $2K
20611 52 48 $2K
90480 77 75 $2K
93356 89 63 $2K
93248 93 93 $2K
90677 12 12 $2K
00126 32 32 $2K
72146 27 27 $2K
94726 184 178 $2K
G0008 Administration of influenza virus vaccine 188 183 $2K
17311 14 13 $2K
88189 26 25 $2K
99344 14 13 $2K
72190 164 154 $2K
99217 27 24 $2K
77072 176 176 $2K
43262 14 13 $2K
70544 27 26 $1K
77077 122 102 $1K
92015 Determination of refractive state 233 232 $1K
73700 29 25 $1K
76937 184 176 $1K
90732 18 16 $1K
99219 14 14 $1K
77263 14 12 $1K
57454 12 12 $1K
74240 37 36 $1K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 475 470 $1K
93280 53 50 $1K
69210 40 40 $1K
96130 13 13 $1K
72157 13 12 $1K
72156 13 13 $1K
72040 121 120 $1K
54150 12 12 $1K
99418 Prolong nursin fac eval 15m 19 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 40 37 $1K
77334 18 13 $976.26
99464 13 12 $958.78
36415 Collection of venous blood by venipuncture 164 161 $882.32
00731 13 13 $860.94
96131 12 12 $814.56
99607 27 24 $789.94
93880 38 36 $766.77
99188 59 59 $766.05
0002A 19 19 $750.40
92225 79 67 $750.24
73000 96 90 $738.24
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 23 12 $731.36
94618 40 39 $724.42
17110 12 12 $716.55
96136 46 44 $700.08
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 30 17 $694.27
99606 25 24 $688.65
95873 46 44 $687.95
76870 24 24 $681.10
99307 37 30 $673.10
74455 32 31 $668.23
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 706 637 $652.74
95717 15 15 $623.52
99241 14 13 $590.66
94727 70 69 $572.91
98967 43 41 $539.03
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 14 14 $523.81
85097 13 13 $472.70
81015 137 132 $472.36
90472 Immunization administration, each additional vaccine (list separately) 32 30 $469.72
0003A 16 14 $454.00
99447 12 12 $443.98
97802 12 12 $407.71
77061 12 12 $396.11
96137 13 13 $386.48
81002 137 133 $305.84
88300 58 55 $274.56
93227 12 12 $260.18
93798 16 13 $255.14
88141 12 12 $244.15
86703 14 14 $238.50
99446 14 14 $233.02
77081 58 57 $194.87
74022 14 14 $194.05
84166 12 12 $170.35
88313 13 13 $137.81
20550 15 12 $123.81
88311 12 12 $118.11
70360 13 12 $111.45
S0191 Misoprostol, oral, 200 mcg 25 25 $105.95
91065 12 12 $99.82
93290 12 12 $99.40
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 13 $75.80
99080 15 15 $75.00
73140 13 13 $74.43
99308 Subsequent nursing facility care, per day, straightforward 16 12 $69.58
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,665 2,402 $16.79
91300 129 129 $0.50
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 17 17 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 12 12 $0.00