Enchantment Healthcare,llc

Enchantment Healthcare,llc was paid $248K by Medicaid between Jan 2018 and May 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoENCHANTMENT HEALTHCARE,LLC
LOS LUNAS, NM 87031

33aNPI1962849950assigned 05/30/2013

33bProvider typeFamily Medicine Physician

28Total paid$248K

24GClaims3,990

24DCodes billed10

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Family Medicine Physician providers in New Mexico

Rank by total paid#62 of 148

Median peer was paid$167K

This provider vs. median1.5×

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	2,140	$125K
2019	1,389	$85K
2020	461	$38K

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	68%	2,349	2,151	$169K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,369	1,258	$70K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	32	32	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	99	81	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	65	65	$1K
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%	13	12	$1K
90674		<1%	27	27	$618.84
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	12	$555.39
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$427.47
90756		<1%	12	12	$249.68

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 officialSISNEROS, MONIQUE (OFFICE MANAGER)