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ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

Clinic/Center, Rural Health·PORTALES, NM·NPI: 1316013402Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.7M

$27,719,246

Total Claims

300K

Beneficiaries

263K

1.1 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+1%
2019
$2.9M
-1%
2020
$2.9M
+47%
2021
$4.2M
+29%
2022
$5.4M
-11%
2023
$4.8M
-6%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 90% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$25.1M

111K claims · 90.4%

Your Cost: $226.37/claim|Median: $121.16
1.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$991K

43K claims · 3.6%

Your Cost: $23.25/claim|Median: $53.41
0.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$904K

41K claims · 3.3%

Your Cost: $21.88/claim|Median: $37.81
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$132K

26K claims · 0.5%

Your Cost: $5.00/claim|Median: $11.48
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$114K

3,360 claims · 0.4%

Your Cost: $33.90/claim|Median: $74.09
0.5× median
G0511Top 25%

RHC/FQHC visit, psychiatric collaborative care model

$90K

3,885 claims · 0.3%

Your Cost: $23.05/claim|Median: $11.35
2.0× median
81002Top 1%

Urinalysis, non-automated without microscopy

$63K

2,413 claims · 0.2%

Your Cost: $26.18/claim|Median: $2.00
13.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$58K

2,266 claims · 0.2%

Your Cost: $25.69/claim|Median: $57.85
0.4× median
80305Top 5%

$37K

1,847 claims · 0.1%

Your Cost: $20.18/claim|Median: $7.44
2.7× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$29K

1,553 claims · 0.1%

Your Cost: $18.35/claim|Median: $5.50
3.3× median
87804Normal range

Influenza virus detection, rapid test

$26K

4,379 claims · 0.1%

Your Cost: $5.85/claim|Median: $12.59
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$21K

6,775 claims · 0.1%

Your Cost: $3.09/claim|Median: $3.67
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$20K

4,189 claims · 0.1%

Your Cost: $4.73/claim|Median: $9.56
0.5× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$19K

1,933 claims · 0.1%

Your Cost: $9.75/claim|Median: $84.03
0.1× median
81025Top 5%

Urine pregnancy test

$16K

784 claims · 0.1%

Your Cost: $20.51/claim|Median: $4.81
4.3× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$16K

96 claims · 0.1%

Your Cost: $166.32/claim|Median: $0.01
16631.8× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$13K

1,712 claims · 0.0%

Your Cost: $7.88/claim|Median: $0.91
8.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$9K

20K claims · 0.0%

Your Cost: $0.46/claim|Median: $39.63
0.0× median
91301

COVID-19 vaccine (Moderna), first dose

$9K

95 claims · 0.0%

20553Normal range

$8K

1,231 claims · 0.0%

Your Cost: $6.83/claim|Median: $29.47
0.2× median
G0444Normal range

Annual depression screening, fifteen minutes

$6K

1,283 claims · 0.0%

Your Cost: $4.84/claim|Median: $4.23
1.1× median
J8499Top 25%

$6K

503 claims · 0.0%

Your Cost: $12.29/claim|Median: $1.99
6.2× median
J0696Top 25%

$6K

549 claims · 0.0%

Your Cost: $10.47/claim|Median: $1.34
7.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$5K

303 claims · 0.0%

Your Cost: $17.77/claim|Median: $29.03
0.6× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$5K

224 claims · 0.0%

Your Cost: $23.31/claim|Median: $7.18
3.2× median
99308Normal range

Nursing facility care, subsequent, straightforward

$3K

203 claims · 0.0%

Your Cost: $16.41/claim|Median: $9.79
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$3K

559 claims · 0.0%

Your Cost: $5.51/claim|Median: $25.06
0.2× median
2014F

$3K

863 claims · 0.0%

99490Top 25%

Chronic care management services, 20 minutes per month

$3K

115 claims · 0.0%

Your Cost: $24.58/claim|Median: $6.31
3.9× median
99309Top 1%

Nursing facility care, subsequent, low complexity

$3K

17 claims · 0.0%

Your Cost: $158.47/claim|Median: $14.00
11.3× median
J2930Normal range

$2K

521 claims · 0.0%

Your Cost: $4.02/claim|Median: $3.03
1.3× median
86580Top 1%

Tuberculosis (TB) skin test

$2K

28 claims · 0.0%

Your Cost: $73.22/claim|Median: $4.46
16.4× median
90633Top 5%

$2K

86 claims · 0.0%

Your Cost: $22.36/claim|Median: $3.56
6.3× median
J1030Normal range

Injection, methylprednisolone acetate, forty milligrams

$2K

2,166 claims · 0.0%

Your Cost: $0.83/claim|Median: $4.38
0.2× median
90656Top 5%

$2K

58 claims · 0.0%

Your Cost: $27.55/claim|Median: $8.67
3.2× median
95886Top 25%

$2K

12 claims · 0.0%

Your Cost: $129.15/claim|Median: $67.70
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

2,912 claims · 0.0%

Your Cost: $0.52/claim|Median: $30.04
0.0× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$1K

56 claims · 0.0%

Your Cost: $25.56/claim|Median: $14.34
1.8× median
90677Normal range

$1K

92 claims · 0.0%

Your Cost: $13.61/claim|Median: $12.96
1.0× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1K

215 claims · 0.0%

Your Cost: $5.59/claim|Median: $9.80
0.6× median
G0447Normal range

$1K

833 claims · 0.0%

Your Cost: $1.42/claim|Median: $5.19
0.3× median
90734Top 25%

$1K

74 claims · 0.0%

Your Cost: $15.05/claim|Median: $6.40
2.4× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$1K

103 claims · 0.0%

Your Cost: $10.63/claim|Median: $0.58
18.3× median
90651Normal range

HPV vaccine, 9-valent

$883

90 claims · 0.0%

Your Cost: $9.82/claim|Median: $8.93
1.1× median
90696Top 5%

DTaP-IPV vaccine

$790

33 claims · 0.0%

Your Cost: $23.95/claim|Median: $5.95
4.0× median
G2025Normal range

$786

37 claims · 0.0%

Your Cost: $21.25/claim|Median: $15.63
1.4× median
96160Top 25%

Patient-focused health risk assessment

$735

69 claims · 0.0%

Your Cost: $10.66/claim|Median: $2.10
5.1× median
J2919Top 25%

$601

98 claims · 0.0%

Your Cost: $6.13/claim|Median: $1.77
3.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$596

41 claims · 0.0%

Your Cost: $14.53/claim|Median: $40.11
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$588

1,686 claims · 0.0%

Your Cost: $0.35/claim|Median: $17.85
0.0× median

Other Top Providers in New Mexico

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General Acute Care Hospital

$463.3M

Presbyterian Healthcare Services

Emergency Medicine

$345.5M

Presbyterian Healthcare Services

Surgery

$240.2M

DHHS PHS Naihs Shiprock Hospital

General Acute Care Hospital

$190.6M

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$138.7M

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