San Juan Regional Medical Center INC
San Juan Regional Medical Center INC was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
AZTEC, NM 87410
Next to other Cardiovascular Disease Physician providers in New Mexico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,377 | $246K | |
| 2019 | 5,365 | $287K | |
| 2020 | 3,189 | $197K | |
| 2021 | 2,085 | $128K | |
| 2022 | 2,106 | $118K | |
| 2023 | 2,309 | $173K | |
| 2024incomplete | 1,933 | $195K |
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 | 61% | 10,599 | 9,831 | $823K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 7,386 | 6,744 | $410K |
| 99442 | 1.6% | 422 | 324 | $21K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 984 | 950 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 229 | 224 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | 74 | $8K |
| 99443 | <1% | 108 | 88 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 64 | 62 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 223 | 146 | $5K |
| 99441 | <1% | 178 | 127 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 711 | 697 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 48 | 46 | $4K |
15 more codes
| 90686 | <1% | 299 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 717 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $1K |
| 98966 | <1% | 55 | $518.36 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $364.31 |
| 98968 | <1% | 13 | $363.20 | |
| 98967 | <1% | 12 | $251.74 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $214.18 |
| 81003 | <1% | 74 | $159.86 | |
| 81001 | <1% | 17 | $59.84 | |
| G0008 | Administration of influenza virus vaccine | <1% | 43 | $50.34 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 14 | $24.16 |
| 90710 | <1% | 12 | $0.11 | |
| J3490 | Unclassified drugs | <1% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| San Juan Regional Medical Center INC | Farmington, NM | $23.73M |
| San Juan Regional Medical Center INC | Farmington, NM | $15.60M |
| San Juan Regional Medical Center INC | Farmington, NM | $7.87M |
| San Juan Regional Medical Center INC | Farmington, NM | $3.57M |
| San Juan Regional Medical Center INC | Farmington, NM | $2.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.52M |
| San Juan Regional Medical Center INC | Farmington, NM | $1.43M |
| San Juan Regional Medical Center INC | Farmington, NM | $933K |
| San Juan Regional Medical Center INC | Farmington, NM | $544K |
| San Juan Regional Medical Center INC | Farmington, NM | $358K |
| San Juan Regional Medical Center INC | Farmington, NM | $330K |
| San Juan Regional Medical Center INC | Farmington, NM | $69K |
| San Juan Regional Medical Center INC | Farmington, NM | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.