El Mirador Incorporated
El Mirador Incorporated was paid $100.80M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 66% of everything it billed.
33Billing provider infoEL MIRADOR INCORPORATED
ALBUQUERQUE, NM 87112
ALBUQUERQUE, NM 87112
33aNPI1942617600assigned 07/15/2014
33bProvider typeContractor
28Total paid$100.80M
24GClaims658,272
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Contractor providers in New Mexico
Rank by total paid#1 of 6
Median peer was paid$642K
This provider vs. median157×
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 | 97,072 | $10.47M | |
| 2019 | 90,790 | $11.63M | |
| 2020 | 88,373 | $13.24M | |
| 2021 | 91,821 | $15.15M | |
| 2022 | 92,946 | $16.22M | |
| 2023 | 93,352 | $16.79M | |
| 2024incomplete | 103,918 | $17.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 66% | 187,069 | 41,903 | $66.32M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 28% | 427,357 | 21,793 | $28.63M |
| G9006 | Coordinated care fee, home monitoring | 4.3% | 20,210 | 20,201 | $4.35M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 1.2% | 16,525 | 1,064 | $1.23M |
| S9999 | Sales tax | <1% | 4,968 | 1,162 | $92K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 973 | 272 | $80K |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | <1% | 564 | 184 | $44K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | <1% | 354 | 143 | $29K |
| G0159 | Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes | <1% | 130 | 119 | $12K |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | <1% | 80 | 80 | $7K |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | <1% | 42 | 13 | $536.25 |
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 officialPEREA, LOUIS (PRESIDENT)