Clinic
Smarthealth Enterprise LLC
Smarthealth Enterprise LLC was paid $233K by Medicaid between May 2022 and Nov 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 44% of everything it billed.
33Billing provider infoSMARTHEALTH ENTERPRISE LLC
RUIDOSO, NM 88345
RUIDOSO, NM 88345
33aNPI1952988701assigned 03/26/2021
33bProvider typeUrgent Care Clinic/Center
28Total paid$233K
24GClaims1,997
24DCodes billed8
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New Mexico
Rank by total paid#22 of 26
Median peer was paid$1.29M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 388 | $33K | |
| 2023 | 696 | $78K | |
| 2024incomplete | 913 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 600 | 598 | $103K |
| 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 | 40% | 708 | 642 | $92K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 9.3% | 156 | 147 | $22K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.1% | 182 | 169 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 259 | 247 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 16 | $2K |
| 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% | 12 | 12 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | 59 | $896.87 |
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 officialTUMALAD, JOE (PRESIDENT)