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Medicare New Mexico · CY2024

Who bills the most New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare in New Mexico?

Medicare Part B FFS · CY2024 · as published by CMS
244
Billing groups
43,136
Named-group FFS services
$14,873,159
Named-group submitted charges
$345
Avg charge / service
$144
Avg allowed / service
36%
Top-5 concentration
3%
Independent share

244 physician groups billed New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare fee-for-service in New Mexico in 2024; the top five named groups hold 36% of that volume, and independent (non-hospital-affiliated) groups deliver 3%.

99204 — New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole New Mexico market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 50% of Medicare in New Mexico; Medicare Advantage penetration 39% → 50% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99204 svcs Share*Phone
1 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUENMPHYSICIAN ASSISTANT 1369 5,332 9.5% (505) 841-1234
2 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUENMPHYSICIAN ASSISTANT 328 3,866 6.9% (505) 727-7090
3 ST VINCENT HOSPITAL SANTA FENMPHYSICIAN ASSISTANT 313 2,573 4.6%
4 UNM MEDICAL GROUP INC ALBUQUERQUENMFAMILY PRACTICE 1089 1,975 3.5% (505) 272-2111
5 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDONMDIAGNOSTIC RADIOLOGY 236 1,727 3.1% (505) 439-6100
6 SAN JUAN REGIONAL MEDICAL CENTER, INC. FARMINGTONNMINTERNAL MEDICINE 221 1,726 3.1%
7 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUENMPHYSICIAN ASSISTANT 77 1,506 2.7% 50572443003208
8 NATIONAL SINUS INSTITUTE PLLC DEMINGNMPHYSICIAN ASSISTANT 35 998 1.8% (575) 449-8949
9 LAS CRUCES PHYSICIAN SERVICES LLC LAS CRUCESNMNURSE PRACTITIONER 100 886 1.6%
10 THREE CROSSES REGIONAL HOSPITAL LLC LAS CRUCESNMNURSE PRACTITIONER 58 733 1.3% (575) 800-3868
11 EYE ASSOCIATES OF NEW MEXICO LTD ALBUQUERQUENMOPTOMETRY 67 682 1.2% (505) 888-5757
12 LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCESNMNURSE PRACTITIONER 96 662 1.2% (575) 556-6440
13 NEWMEXIDOC PA SANTA FENMNURSE PRACTITIONER 11 662 1.2% (505) 501-7791
14 EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC SANTA FENMDERMATOLOGY 29 652 1.2% (505) 557-6300
15 TAOS COMPREHENSIVE HEALTH CORPORATION SANTA FENMNURSE PRACTITIONER 4 606 1.1% (505) 989-8707
16 ROSWELL CLINIC CORP ROSWELLNMNURSE PRACTITIONER 30 592 1.1% (575) 627-4074
17 SOUTHWEST GASTROENTEROLOGY ASSOCIATES ALBUQUERQUENMGASTROENTEROLOGY 27 586 1.0% (505) 999-1600
18 PACIFIC CATARACT AND LASER INSTITUTE INC PC GREAT FALLSNMOPTOMETRY 77 555 1.0% (406) 454-2202
19 NEXUS HEALTH SANTA FENMNURSE PRACTITIONER 32 542 1.0% (505) 670-8292
20 DUKE CITY URGENT CARE ALBUQUERQUENMPHYSICIAN ASSISTANT 38 500 0.9% (505) 814-1995
21 RYAN K ANDERSON D P M P C BOUNTIFULNMPODIATRY 51 478 0.9% (801) 292-4425
22 ORTHOPEDIC ASSOCIATES PA FARMINGTONNMORTHOPEDIC SURGERY 19 413 0.7% (505) 327-1400
23 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUENMDIAGNOSTIC RADIOLOGY 67 381 0.7% (505) 842-8171
24 RIO GRANDE UROLOGY PA EL PASONMUROLOGY 28 365 0.7% (915) 532-8823
25 UNM HOSPITAL ALBUQUERQUENMNURSE PRACTITIONER 389 361 0.6% (505) 272-2644
26 KEWA PUEBLO HEALTH CORPORATION SANTO DOMINGONMFAMILY PRACTICE 25 341 0.6% (505) 465-3060
27 BARNET DULANEY PERKINS EYE CENTER, PC PHOENIXNMOPTOMETRY 103 312 0.6% (602) 955-1000
28 MASOUD KHORSAND- SAHBAIE MD P A ROSWELLNMHEMATOLOGY/ONCOLOGY 18 300 0.5% (575) 627-9500
29 SOUTHWEST CENTER ON AGING LAS CRUCESNMCERTIFIED CLINICAL NURSE SPECIALIST (CNS) 4 274 0.5% (575) 532-5455
30 OPTUMCARE NEW MEXICO LLC ALBUQUERQUENMFAMILY PRACTICE 71 265 0.5% (505) 275-4288
31 ADVANCED HEART AND VASCULAR CENTER OF CARLSBAD NEW MEXICO CARLSBADNMCARDIAC ELECTROPHYSIOLOGY 8 262 0.5% (575) 941-4400
32 MCLEOD MEDICAL CENTERS OF NM INC ALBUQUERQUENMPHYSICIAN ASSISTANT 49 256 0.5% (505) 281-5180
33 ARTESIA GENERAL HOSPITAL ARTESIANMNURSE PRACTITIONER 47 241 0.4% (575) 748-8000
34 LUNG SPECIALISTS OF LAS CRUCES LLC LAS CRUCESNMPULMONARY DISEASE 2 220 0.4% (575) 532-0303
35 SOUTHWEST EYECARE SPECIALISTS P C ALBUQUERQUENMOPHTHALMOLOGY 7 211 0.4% (505) 346-0500
36 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLASNMUROLOGY 72 193 0.3% (214) 691-9377
37 NEW HEART, INC ALBUQUERQUENMCARDIAC ELECTROPHYSIOLOGY 2 185 0.3% (505) 881-8195
38 OMNISLEEP LLC ALBUQUERQUENMNURSE PRACTITIONER 7 177 0.3% (505) 843-8758
39 EPMED, PA EL PASONMANESTHESIOLOGY 21 170 0.3%
40 DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC LAS CRUCESNMGASTROENTEROLOGY 4 169 0.3% (575) 522-7697
41 COVENANT MEDICAL GROUP LUBBOCKNMNURSE PRACTITIONER 227 164 0.3% (806) 725-5844
42 YORT LLC CARLSBADNMFAMILY PRACTICE 2 163 0.3% (575) 288-2600
43 HILLARY E NORTON MD PC SANTA FENMINTERNAL MEDICINE 4 163 0.3% (505) 988-7568
44 ABQ ORTHOPEDICS LLC ALBUQUERQUENMPHYSICIAN ASSISTANT 5 159 0.3% (505) 418-6636
45 INTERVENTIONAL PAIN ASSOCIATES ALBUQUERQUENMNURSE PRACTITIONER 4 157 0.3% (505) 588-7246
46 ALLERGY PARTNERS PLLC ASHEVILLENMALLERGY/IMMUNOLOGY 143 156 0.3% (828) 253-3382
47 LOS ALAMOS PHYSICIAN PRACTICES LLC LOS ALAMOSNMGENERAL SURGERY 17 146 0.3% (505) 661-9533
48 SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC ROSWELLNMNURSE PRACTITIONER 9 146 0.3% (575) 623-9101
49 MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO LOS ALAMOSNMNURSE PRACTITIONER 17 142 0.3% (505) 661-8900
50 SOUTHWEST PAIN CENTER LLC LAS CRUCESNMNURSE PRACTITIONER 9 141 0.3% (575) 525-3980
51 RENAL MEDICINE ASSOCIATES LTD. ALBUQUERQUENMNURSE PRACTITIONER 36 140 0.3% (505) 994-7400
52 KIDNEY SPECIALISTS OF NEW MEXICO, PC ALBUQUERQUENMNEPHROLOGY 4 138 0.2% (505) 884-4545
53 MODERN PAIN AND SPINE PC ALBUQUERQUENMANESTHESIOLOGY 5 137 0.2% (505) 800-7246
54 NNM GASTROENTEROLOGY ASSOCIATES PA SANTA FENMGASTROENTEROLOGY 12 129 0.2% (505) 983-5631
55 CLOVIS FAMILY URGENT CARE LLC CLOVISNMNURSE PRACTITIONER 7 128 0.2% (575) 762-4455
56 HIGH DESERT DERMATOLOGY PC ALBUQUERQUENMPHYSICIAN ASSISTANT 5 122 0.2% (505) 938-4212
57 DIEGO J GONZALEZ MD PC ALBUQUERQUENMNURSE PRACTITIONER 4 120 0.2% (505) 727-4400
58 BREATHEAMERICA ALBUQUERQUE INC ALBUQUERQUENMOTOLARYNGOLOGY 4 118 0.2% (505) 883-2574
59 MULTICARE HEALTH SYSTEM GIG HARBORNMNURSE PRACTITIONER 2289 114 0.2%
60 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELDNMPHYSICIAN ASSISTANT 1128 114 0.2%
61 CORRECT CARE, INC. ASHDOWNNMEMERGENCY MEDICINE 97 112 0.2% (870) 898-5011
62 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARKNMPHYSICIAN ASSISTANT 1266 112 0.2% (719) 776-4780
63 ASPEN MEDICAL GROUP LLC SANTA FENMNURSE PRACTITIONER 10 110 0.2%
64 ALBUQUERQUE ASSOCIATED PODIATRISTS ALBUQUERQUENMPODIATRY 8 110 0.2% (505) 247-4164
65 SEEBERGER DERMATOLOGY LLC ALAMOGORDONMNURSE PRACTITIONER 2 110 0.2% (575) 437-4533
66 COVENANT CLINICS, LLC LAS CRUCESNMNURSE PRACTITIONER 7 109 0.2% (575) 556-0200
67 PECOS VALLEY OF NEW MEXICO LLC CARLSBADNMNURSE PRACTITIONER 31 109 0.2%
68 REHABILITATION AND OCCUPATIONAL MEDICINE LLC LAS CRUCESNMPAIN MANAGEMENT 2 100 0.2% (575) 532-6054
69 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIONMCARDIOVASCULAR DISEASE (CARDIOLOGY) 124 99 0.2% (210) 271-3204
70 NEPHROPHILES LLC SANTA FENMINTERNAL MEDICINE 5 95 0.2% (505) 216-3466
71 505 EYECARE, LLC ALBUQUERQUENMOPTOMETRY 3 93 0.2% (505) 881-7440
72 LAS PALMAS DEL SOL CARDIOLOGY, PLLC EL PASONMCARDIOVASCULAR DISEASE (CARDIOLOGY) 16 92 0.2% (915) 521-1200
73 CENTENNIAL MEDICAL GROUP LLP LAS VEGASNMPAIN MANAGEMENT 10 91 0.2% (702) 839-1203
74 WOMENS PELVIC SPECIALTY CARE OF NEW MEXICO LLC ALBUQUERQUENMNURSE PRACTITIONER 3 88 0.2% (505) 888-0443
75 CENTER FOR VEIN RESTORATION NM LLC ALBUQUERQUENMCARDIOVASCULAR DISEASE (CARDIOLOGY) 4 88 0.2% (855) 830-8346
76 DHHS PHS NAIHS SHIPROCK HOSPITAL SHIPROCKNMFAMILY PRACTICE 148 86 0.2%
77 DERMATOLOGY PARTNERS OF NORTHERN NEW MEXICO SANTA FENMDERMATOLOGY 5 84 0.2% (505) 983-0286
78 D. E. WENNER III, M.D., P.C. ROSWELLNMPHYSICIAN ASSISTANT 2 84 0.2% (575) 623-1980
79 NEW MEXICO PREMIER HEALTH LOS LUNASNMNURSE PRACTITIONER 6 83 0.1% (505) 388-2223
80 SOUTHWESTERN EYE CENTER LTD SCOTTSDALENMCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 118 83 0.1% (602) 787-9100
81 DEMING CLINIC CORPORATION DEMINGNMORTHOPEDIC SURGERY 4 81 0.1% (575) 543-7200
82 LOVELACE UNM REHABILITATION HOSPITAL, LLC ALBUQUERQUENMPHYSICAL THERAPIST IN PRIVATE PRACTICE 24 81 0.1% (505) 727-4961
83 MEDITELECARE OF NEW MEXICO, LLC ESPANOLANMNURSE PRACTITIONER 8 80 0.1% 8607886404152
84 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITYNMPHYSICIAN ASSISTANT 1783 79 0.1% (801) 581-2121
85 SAN JUAN MEDICAL GROUP PC FARMINGTONNMNURSE PRACTITIONER 11 77 0.1% 5053274867106
86 INTEGRATED PATIENT SOLUTIONS OF NEVADA, PC IRVINGNMREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 2 75 0.1% (833) 595-3559
87 MONTE BELLO MEDICAL LLC LAS CRUCESNMFAMILY PRACTICE 2 75 0.1% (575) 644-6686
88 SANDIA PAIN CENTER LLC ALBUQUERQUENMINTERVENTIONAL PAIN MANAGEMENT 2 74 0.1% (505) 420-4971
89 CENTRAL OREGON ENT LLC - EAR NOSE THROAT AND FACIAL PLASTIC SURGEY BENDNMOTOLARYNGOLOGY 18 72 0.1% (541) 382-3100
90 BOTWIN EYE GROUP PA SANTA FENMOPTOMETRY 4 72 0.1% (505) 954-4442
91 NITOVO HEALTHCARE LLC ALBUQUERQUENMCARDIOVASCULAR DISEASE (CARDIOLOGY) 2 71 0.1% (505) 305-7766
92 SOUTHWEST KIDNEY CARE, LLC ALBUQUERQUENMNURSE PRACTITIONER 9 71 0.1% (505) 370-9600
93 PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA FARMINGTONNMNURSE PRACTITIONER 3 68 0.1% (505) 327-4429
94 ADVANCED ALLERGY ASSOCIATES OF NEW MEXICO INC ALBUQUERQUENMNURSE PRACTITIONER 5 65 0.1% (505) 237-2574
95 SKYVIEW EYECARE INC FARMINGTONNMOPTOMETRY 3 65 0.1% (505) 325-7070
96 ALASKA VEIN CARE LLC WASILLANMINTERVENTIONAL RADIOLOGY 2 64 0.1% (907) 414-3832
97 ULTIMATE EYECARE SANTA FE LLC SANTA FENMOPTOMETRY 3 63 0.1% (505) 983-7746
98 ALBUQUERQUE CENTER FOR RHEUMATOLOGY PC ALBUQUERQUENMRHEUMATOLOGY 2 62 0.1% (505) 341-4148
99 FOOT AND ANKLE SPECIALISTS OF NEW MEXICO PC ALBUQUERQUENMPODIATRY 7 62 0.1% (505) 271-9900
100 SOUTHERN ORTHOPAEDIC SURGEONS LLC MONTGOMERYNMPHYSICIAN ASSISTANT 31 61 0.1% (334) 613-9000

*Share of New Mexico's disclosed Medicare-FFS services for 99204, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99204 in New Mexico — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →