Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NM › Albuquerque › NPI 1831218627
Physician

Unm Medical Group INC

Unm Medical Group INC was paid $113.47M by Medicaid between Jan 2018 and Dec 2024, across 364 billing codes. Its largest line is 99284, emergency room visit (serious) — 15% of everything it billed.

33Billing provider infoUNM MEDICAL GROUP INC
ALBUQUERQUE, NM 87106
33aNPI1831218627assigned 03/29/2007
33bProvider typeTrauma Surgery Physician
28Total paid$113.47M
24GClaims2,120,703
24DCodes billed364
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018344,112$16.51M
2019327,126$16.85M
2020274,830$14.16M
2021309,855$16.07M
2022325,766$17.11M
2023298,929$17.28M
2024incomplete240,085$15.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 165,714 163,021 $16.65M
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 11% 201,802 193,041 $12.44M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.1% 100,399 39,546 $8.05M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.1% 158,907 152,854 $6.88M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.7% 86,509 41,573 $5.31M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.5% 36,361 35,825 $5.09M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.3% 35,583 17,815 $4.91M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.1% 46,690 45,699 $3.54M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 33,961 31,901 $2.87M
70450 Computed tomography, head or brain; without contrast material 2.0% 65,567 60,988 $2.32M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2.0% 5,840 1,757 $2.24M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.5% 21,402 21,186 $1.69M
352 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination 1.3% 27,155 $1.47M
99480 Subsequent intensive care, per day, low birth weight infant 1.1% 11,701 $1.30M
99204 Doctor's office visit, new patient (more involved) 1.0% 12,001 $1.19M
71045 Radiologic examination, chest; single view 1.0% 153,006 $1.16M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 21,974 $1.10M
99244 Office or other outpatient consultation, moderate to high complexity <1% 8,472 $1.08M
99238 Hospital discharge day management, 30 minutes or less <1% 14,945 $1.08M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 13,550 $1.03M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 22,043 $1.01M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 2,502 $997K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 9,507 $903K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 16,879 $885K
99223 Prolong inpt eval add15 m <1% 5,992 $861K
99243 <1% 9,181 $846K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 10,490 $802K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 6,326 $781K
71275 Computed tomographic angiography, chest, with contrast material <1% 10,398 $753K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 6,381 $726K
71046 Radiologic examination, chest; 2 views <1% 77,223 $711K
99222 Initial hospital care, per day, moderate complexity <1% 5,553 $700K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 11,011 $695K
76819 Fetal biophysical profile; without non-stress testing <1% 13,695 $687K
99203 Doctor's office visit, new patient (routine) <1% 10,411 $672K
72125 Computed tomography, cervical spine; without contrast material <1% 13,431 $610K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 17,306 $607K
70551 Magnetic resonance imaging, brain; without contrast material <1% 9,339 $596K
70498 <1% 7,374 $579K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 85,992 $551K
99239 Hospital discharge day management, more than 30 minutes <1% 5,945 $534K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,373 $521K
76770 <1% 13,875 $490K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 5,241 $408K
90837 Psychotherapy session, about an hour <1% 4,330 $394K
90834 Psychotherapy session, about 45 minutes <1% 5,316 $388K
88307 <1% 4,301 $384K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,582 $383K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 11,012 $363K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 7,521 $354K
93976 <1% 9,229 $329K
95720 <1% 3,084 $326K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 6,839 $310K
90961 <1% 6,493 $297K
99442 <1% 5,100 $293K
77067 Screening mammography, bilateral, including computer-aided detection <1% 6,428 $264K
99460 <1% 2,959 $260K
74018 <1% 33,633 $259K
99152 <1% 10,301 $258K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 7,646 $245K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 671 $232K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,924 $225K
99443 <1% 2,994 $222K
95951 <1% 828 $218K
99253 <1% 1,905 $208K
93320 <1% 10,894 $197K
76801 <1% 3,223 $195K
73130 <1% 21,494 $173K
99254 <1% 1,041 $167K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 6,313 $164K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 927 $163K
90870 <1% 1,564 $159K
43235 <1% 1,142 $153K
70496 <1% 2,190 $151K
20610 <1% 5,656 $151K
99245 <1% 878 $150K
H2000 Comprehensive multidisciplinary evaluation <1% 273 $150K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 512 $149K
41899 Unlisted procedure, dentoalveolar structures <1% 222 $148K
99468 <1% 156 $138K
93971 <1% 7,217 $137K
73562 <1% 16,835 $133K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 2,085 $132K
73610 <1% 16,225 $131K
43264 <1% 641 $128K
73630 <1% 16,987 $128K
93970 <1% 4,380 $127K
90847 Family psychotherapy with the patient present, 50 minutes <1% 1,712 $124K
73110 <1% 14,125 $117K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,450 $116K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,680 $113K
90935 Hemodialysis procedure with single evaluation by a physician <1% 3,783 $111K
76830 Ultrasound, transvaginal <1% 3,285 $105K
85060 <1% 5,039 $101K
00170 Anesthesia for intraoral procedures, including biopsy <1% 665 $101K
72170 <1% 12,146 $100K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,739 $99K
76813 <1% 1,647 $97K
71250 <1% 2,765 $92K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,210 $91K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 85 $91K
96127 <1% 8,246 $89K
85390 <1% 2,765 $89K
72082 <1% 5,677 $89K
73590 <1% 11,506 $88K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,450 $86K
92134 <1% 6,081 $85K
90832 Psychotherapy session, about 30 minutes <1% 1,391 $82K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 379 $82K
31231 <1% 993 $82K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,829 $81K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 299 $80K
88342 <1% 2,238 $73K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,173 $72K
73080 <1% 8,496 $71K
99242 <1% 994 $70K
77063 Screening digital breast tomosynthesis, bilateral <1% 3,644 $70K
73030 <1% 8,886 $69K
72141 <1% 1,086 $65K
99153 Mod sedat endo service >5yrs <1% 4,903 $63K
88108 <1% 3,452 $63K
76820 <1% 1,766 $61K
43259 <1% 446 $60K
99381 <1% 475 $60K
59025 Fetal non-stress test <1% 1,825 $59K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 299 $59K
73090 <1% 7,136 $57K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,494 $56K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,299 $55K
76942 <1% 2,202 $54K
76642 <1% 1,671 $49K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 773 $47K
94010 <1% 5,718 $45K
78815 Positron emission tomography (PET) for limited area imaging <1% 479 $44K
86077 <1% 1,204 $43K
90962 <1% 1,032 $43K
93325 <1% 13,325 $42K
84165 <1% 3,173 $40K
67028 Intravitreal injection of a pharmacologic agent <1% 1,104 $38K
99205 Prolong outpt/office vis <1% 331 $38K
76506 <1% 1,161 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,841 $36K
77073 <1% 2,775 $34K
92133 <1% 1,840 $33K
88304 <1% 2,722 $33K
93295 <1% 1,190 $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) <1% 2,548 $31K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 143 $31K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 664 $30K
76536 <1% 1,307 $29K
93298 <1% 1,937 $29K
95718 <1% 415 $29K
73564 <1% 2,960 $29K
72110 <1% 2,354 $28K
00104 <1% 621 $27K
70486 <1% 741 $27K
73552 <1% 3,223 $26K
90791 Psychiatric diagnostic evaluation <1% 197 $25K
81025 <1% 2,982 $25K
73221 <1% 428 $25K
11982 <1% 85 $24K
90966 <1% 407 $24K
99462 <1% 582 $24K
76886 <1% 736 $24K
99172 <1% 543 $23K
99441 <1% 698 $23K
95811 <1% 250 $23K
95886 <1% 520 $23K
99476 <1% 66 $22K
74183 <1% 262 $21K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 202 $21K
G0452 Molecular pathology procedure; physician interpretation and report <1% 1,306 $19K
73502 <1% 2,364 $19K
92083 <1% 890 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 445 $18K
77014 <1% 840 $18K
49083 <1% 172 $18K
74230 <1% 762 $18K
77080 <1% 2,528 $17K
99221 <1% 218 $17K
01810 <1% 224 $17K
77427 <1% 182 $16K
90945 <1% 536 $16K
72100 <1% 1,605 $15K
88312 <1% 396 $15K
99292 <1% 147 $15K
76825 <1% 177 $14K
74178 <1% 188 $14K
92504 <1% 1,210 $14K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 141 $13K
94060 <1% 1,190 $13K
67228 <1% 67 $13K
90734 <1% 138 $13K
99255 <1% 53 $12K
25600 <1% 67 $12K
70491 <1% 197 $11K
43274 <1% 30 $11K
90785 <1% 2,017 $11K
93297 <1% 998 $11K
95812 <1% 229 $11K
99252 <1% 141 $10K
73060 <1% 1,323 $10K
93923 <1% 700 $10K
00142 <1% 145 $10K
72050 <1% 775 $9K
72081 <1% 695 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 499 $8K
95813 <1% 104 $8K
91320 <1% 90 $8K
43244 <1% 43 $8K
94729 <1% 1,189 $7K
98968 <1% 401 $7K
77066 Tomosynthesis, mammo <1% 177 $7K
11100 <1% 179 $7K
77065 Tomosynthesis, mammo <1% 195 $7K
36620 <1% 143 $7K
90836 <1% 94 $7K
58301 <1% 29 $6K
64615 <1% 71 $5K
54161 <1% 26 $5K
97803 <1% 218 $5K
77092 <1% 982 $5K
77075 <1% 198 $5K
93294 <1% 298 $5K
64483 <1% 42 $5K
11721 <1% 409 $5K
77076 <1% 146 $5K
64721 <1% 23 $4K
93272 <1% 178 $4K
64642 <1% 62 $4K
90686 <1% 259 $4K
99173 <1% 186 $4K
76827 <1% 115 $4K
51600 <1% 34 $4K
11981 <1% 12 $4K
93321 <1% 696 $4K
99451 <1% 89 $3K
99477 <1% 13 $3K
20553 <1% 131 $3K
92523 <1% 12 $3K
88341 <1% 46 $3K
01922 <1% 24 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 47 $3K
11104 <1% 59 $3K
72197 <1% 38 $3K
93308 <1% 160 $3K
92201 <1% 179 $3K
11012 <1% 13 $3K
90656 <1% 190 $3K
72072 <1% 298 $3K
72158 <1% 28 $3K
74241 <1% 81 $3K
99342 <1% 31 $3K
99384 <1% 15 $3K
77049 <1% 26 $3K
74328 <1% 146 $3K
88112 <1% 113 $3K
0001A <1% 72 $3K
73560 <1% 352 $2K
92060 <1% 67 $2K
11102 <1% 62 $2K
20552 <1% 116 $2K
93351 <1% 36 $2K
64643 <1% 41 $2K
95251 <1% 58 $2K
26600 <1% 15 $2K
64450 <1% 41 $2K
20611 <1% 52 $2K
90480 <1% 77 $2K
93356 <1% 89 $2K
93248 <1% 93 $2K
90677 <1% 12 $2K
00126 <1% 32 $2K
72146 <1% 27 $2K
94726 <1% 184 $2K
G0008 Administration of influenza virus vaccine <1% 188 $2K
17311 <1% 14 $2K
88189 <1% 26 $2K
99344 <1% 14 $2K
72190 <1% 164 $2K
99217 <1% 27 $2K
77072 <1% 176 $2K
43262 <1% 14 $2K
70544 <1% 27 $1K
77077 <1% 122 $1K
92015 Determination of refractive state <1% 233 $1K
73700 <1% 29 $1K
76937 <1% 184 $1K
90732 <1% 18 $1K
99219 <1% 14 $1K
77263 <1% 14 $1K
57454 <1% 12 $1K
74240 <1% 37 $1K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 475 $1K
93280 <1% 53 $1K
69210 <1% 40 $1K
96130 <1% 13 $1K
72157 <1% 13 $1K
72156 <1% 13 $1K
72040 <1% 121 $1K
54150 <1% 12 $1K
99418 Prolong nursin fac eval 15m <1% 19 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 40 $1K
77334 <1% 18 $976.26
99464 <1% 13 $958.78
36415 Collection of venous blood by venipuncture <1% 164 $882.32
00731 <1% 13 $860.94
96131 <1% 12 $814.56
99607 <1% 27 $789.94
93880 <1% 38 $766.77
99188 <1% 59 $766.05
0002A <1% 19 $750.40
92225 <1% 79 $750.24
73000 <1% 96 $738.24
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 23 $731.36
94618 <1% 40 $724.42
17110 <1% 12 $716.55
96136 <1% 46 $700.08
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 30 $694.27
99606 <1% 25 $688.65
95873 <1% 46 $687.95
76870 <1% 24 $681.10
99307 <1% 37 $673.10
74455 <1% 32 $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) <1% 706 $652.74
95717 <1% 15 $623.52
99241 <1% 14 $590.66
94727 <1% 70 $572.91
98967 <1% 43 $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) <1% 14 $523.81
85097 <1% 13 $472.70
81015 <1% 137 $472.36
90472 Immunization administration, each additional vaccine (list separately) <1% 32 $469.72
0003A <1% 16 $454.00
99447 <1% 12 $443.98
97802 <1% 12 $407.71
77061 <1% 12 $396.11
96137 <1% 13 $386.48
81002 <1% 137 $305.84
88300 <1% 58 $274.56
93227 <1% 12 $260.18
93798 <1% 16 $255.14
88141 <1% 12 $244.15
86703 <1% 14 $238.50
99446 <1% 14 $233.02
77081 <1% 58 $194.87
74022 <1% 14 $194.05
84166 <1% 12 $170.35
88313 <1% 13 $137.81
20550 <1% 15 $123.81
88311 <1% 12 $118.11
70360 <1% 13 $111.45
S0191 Misoprostol, oral, 200 mcg <1% 25 $105.95
91065 <1% 12 $99.82
93290 <1% 12 $99.40
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 13 $75.80
99080 <1% 15 $75.00
73140 <1% 13 $74.43
99308 Subsequent nursing facility care, per day, straightforward <1% 16 $69.58
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 2,665 $16.79
91300 <1% 129 $0.50
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 0% 17 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 12 $0.00
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 0% 12 $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 officialKLAR, JILL (CHIEF OPERATING OFFICER)