Hidalgo Medical Services

Hidalgo Medical Services was paid $1.93M by Medicaid between Jun 2018 and Nov 2024, across 4 billing codes. Its largest line is G9001, Coordinated care fee, initial rate — 100% of everything it billed.

33Billing provider infoHIDALGO MEDICAL SERVICES
SILVER CITY, NM 88061

33aNPI1841700275assigned 10/12/2017

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$1.93M

24GClaims12,192

24DCodes billed4

24AFirst – last monthJun 2018 – Nov 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in New Mexico

Rank by total paid#44 of 167

Median peer was paid$370K

This provider vs. median5.2×

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	1,191	$197K
2019	2,089	$282K
2020	2,538	$382K
2021	2,151	$329K
2022	1,509	$266K
2023	1,367	$272K
2024incomplete	1,347	$205K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9001	Coordinated care fee, initial rate	100%	6,267	6,245	$1.93M
50280		<1%	89	89	$605.70
S0280	Medical home program, comprehensive care coordination and planning, initial plan	<1%	5,302	5,096	$302.11
T1016	Case management, each 15 minutes	<1%	534	429	$0.03

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 officialOTERO, DAN (CEO)