Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

San Juan Regional Medical Center, Inc.

Audiologist·Farmington, NM·NPI: 1427058510Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$141.5M

$141,456,540

Total Claims

2.3M

Beneficiaries

1.9M

1.2 claims/patient

Avg Cost/Claim

$62

#779 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

San Juan Regional Medical Center, Inc. is a Audiologist provider based in Farmington, NM. From the 2018–2024 period, this provider received $141.5M in Medicaid payments across 2.3M claims.

Why This Matters

This provider received $141.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,682 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 6% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.7M
-28%
2019
$15.0M
+0%
2020
$15.0M
+8%
2021
$16.2M
+43%
2022
$23.2M
+27%
2023
$29.4M
-25%
2024
$22.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 14% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$19.1M

77K claims · 13.5%

Your Cost: $249.51/claim|Median: $69.51
3.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$14.4M

84K claims · 10.2%

Your Cost: $171.35/claim|Median: $42.48
4.0× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$11.9M

37K claims · 8.4%

Your Cost: $321.21/claim|Median: $85.65
3.8× median
A0429Top 10%

Ambulance, BLS emergency transport

$7.5M

26K claims · 5.3%

Your Cost: $285.60/claim|Median: $138.19
2.1× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$5.9M

21K claims · 4.1%

Your Cost: $282.87/claim|Median: $164.22
1.7× median
A0430Normal range

ALS mileage, per mile, fixed wing

$5.2M

2,666 claims · 3.6%

Your Cost: $1,935.54/claim|Median: $1,588.22
1.2× median
A0435Normal range

ALS mileage, per mile, fixed wing, level 2

$3.9M

2,575 claims · 2.8%

Your Cost: $1,530.79/claim|Median: $1,235.61
1.2× median
74177Top 10%

CT abdomen and pelvis with contrast

$3.2M

8,801 claims · 2.2%

Your Cost: $360.13/claim|Median: $65.76
5.5× median
G0378Top 25%

Hospital observation service, per hour

$2.9M

5,100 claims · 2.0%

Your Cost: $566.90/claim|Median: $99.39
5.7× median
96361Normal range

IV infusion, hydration, each additional hour

$2.8M

49K claims · 2.0%

Your Cost: $57.54/claim|Median: $38.92
1.5× median
70450Top 10%

CT head/brain without contrast

$2.8M

13K claims · 2.0%

Your Cost: $207.73/claim|Median: $45.53
4.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.5M

51K claims · 1.8%

Your Cost: $49.11/claim|Median: $21.76
2.3× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$2.3M

1,203 claims · 1.6%

Your Cost: $1,909.50/claim|Median: $1,650.68
1.2× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$2.2M

34K claims · 1.6%

Your Cost: $65.31/claim|Median: $7.50
8.7× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$2.2M

17K claims · 1.6%

Your Cost: $130.56/claim|Median: $65.45
2.0× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$2.1M

36K claims · 1.5%

Your Cost: $57.38/claim|Median: $14.92
3.8× median
71045Top 5%

Chest X-ray, single view

$2.0M

33K claims · 1.4%

Your Cost: $59.36/claim|Median: $4.93
12.0× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.8M

17K claims · 1.3%

Your Cost: $110.19/claim|Median: $54.77
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.7M

7,061 claims · 1.2%

Your Cost: $239.72/claim|Median: $60.19
4.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.6M

5,088 claims · 1.1%

Your Cost: $313.04/claim|Median: $54.68
5.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$1.5M

19K claims · 1.1%

Your Cost: $79.14/claim|Median: $37.56
2.1× median
A0436Top 25%

ALS mileage, per mile, level 2

$1.5M

1,139 claims · 1.0%

Your Cost: $1,279.37/claim|Median: $705.08
1.8× median
99282Top 25%

Emergency dept visit, low complexity

$1.3M

13K claims · 0.9%

Your Cost: $101.53/claim|Median: $37.72
2.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.2M

22K claims · 0.9%

Your Cost: $53.68/claim|Median: $24.49
2.2× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

104K claims · 0.8%

Your Cost: $11.24/claim|Median: $7.24
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$996K

124K claims · 0.7%

Your Cost: $8.04/claim|Median: $4.71
1.7× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$958K

13K claims · 0.7%

Your Cost: $73.24/claim|Median: $61.57
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$880K

6,578 claims · 0.6%

Your Cost: $133.84/claim|Median: $120.85
1.1× median
71275Top 5%

CT angiography, chest, with contrast

$868K

2,431 claims · 0.6%

Your Cost: $356.98/claim|Median: $92.96
3.8× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$865K

5,273 claims · 0.6%

Your Cost: $163.99/claim|Median: $10.88
15.1× median

Other Top Providers in New Mexico

View all →

Ambercare Home Health Care Corporation

Home Health

$518.1M

Unm Hospital

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

← All providersAll providers in New Mexico →How we detect fraud →