Merit Family Medicine

Merit Family Medicine was paid $560K by Medicaid between Nov 2019 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoMERIT FAMILY MEDICINE
ALBUQUERQUE, NM 87114

33aNPI1881251411assigned 05/20/2019

33bProvider typePrimary Care Clinic/Center

28Total paid$560K

24GClaims6,948

24DCodes billed24

24AFirst – last monthNov 2019 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in New Mexico

Rank by total paid#12 of 31

Median peer was paid$263K

This provider vs. median2.1×

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
2019	65	$8K
2020	845	$83K
2021	1,611	$91K
2022	1,746	$110K
2023	1,683	$147K
2024incomplete	998	$122K

Box 24 · Service lines

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	45%	2,439	2,275	$250K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	21%	813	777	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	1,531	1,414	$95K
99205	Prolong outpt/office vis	10%	323	318	$59K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.5%	41	41	$8K
36415	Collection of venous blood by venipuncture	1.0%	1,061	1,033	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.0%	54	53	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	111	110	$2K
99386		<1%	13	13	$2K
93922		<1%	28	28	$2K
99385		<1%	12	12	$2K
90686		<1%	93	93	$2K

12 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	88	$2K
80305		<1%	142	$2K
99442		<1%	13	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	41	$630.54
90756		<1%	19	$590.93
90688		<1%	33	$580.32
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	13	$259.75
93000		<1%	18	$248.33
90658		<1%	13	$207.06
93702		<1%	12	$148.89
81000		<1%	14	$50.52
99072		0%	23	$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 officialSAAVEDRA, JOSE (BILLER/CREDENTIALER)