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

⚖️ Compare🖨️ Print Report

UNM SANDOVAL REGIONAL MEDICAL CENTER, INC

General Acute Care Hospital·RIO RANCHO, NM·NPI: 1649556200Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2023-12(72 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$27.4M

$27,377,287

Total Claims

526K

Beneficiaries

465K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-19%
2019
$4.0M
-27%
2020
$2.9M
+21%
2021
$3.5M
+46%
2022
$5.1M
+35%
2023
$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 11% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.0M

20K claims · 11.1%

Your Cost: $155.23/claim|Median: $42.48
3.7× median
G0463Top 25%

Hospital outpatient clinic visit

$2.9M

37K claims · 10.7%

Your Cost: $78.56/claim|Median: $26.41
3.0× median
99284Top 10%

Emergency dept visit, high complexity

$2.7M

12K claims · 9.8%

Your Cost: $217.34/claim|Median: $69.51
3.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.6M

5,059 claims · 5.7%

Your Cost: $307.77/claim|Median: $85.65
3.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.4M

4,591 claims · 5.3%

Your Cost: $315.83/claim|Median: $65.76
4.8× median
G0378Top 25%

Hospital observation service, per hour

$1.4M

2,826 claims · 5.0%

Your Cost: $479.90/claim|Median: $99.39
4.8× median
70450Top 10%

CT head/brain without contrast

$798K

3,627 claims · 2.9%

Your Cost: $220.11/claim|Median: $45.53
4.8× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$625K

9,911 claims · 2.3%

Your Cost: $63.10/claim|Median: $7.50
8.4× median
80048Top 25%

Basic metabolic panel

$504K

30K claims · 1.8%

Your Cost: $17.05/claim|Median: $5.78
2.9× median
99282Top 25%

Emergency dept visit, low complexity

$425K

4,521 claims · 1.6%

Your Cost: $93.96/claim|Median: $37.72
2.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$411K

3,397 claims · 1.5%

Your Cost: $121.09/claim|Median: $97.61
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$391K

10K claims · 1.4%

Your Cost: $38.48/claim|Median: $21.76
1.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$364K

6,820 claims · 1.3%

Your Cost: $53.33/claim|Median: $14.92
3.6× median
71275Top 5%

CT angiography, chest, with contrast

$356K

927 claims · 1.3%

Your Cost: $384.27/claim|Median: $92.96
4.1× median
71046Top 5%

Chest X-ray, 2 views

$344K

6,351 claims · 1.3%

Your Cost: $54.20/claim|Median: $8.92
6.1× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$311K

878 claims · 1.1%

Your Cost: $354.40/claim|Median: $54.68
6.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$306K

6,155 claims · 1.1%

Your Cost: $49.69/claim|Median: $24.49
2.0× median
96361Normal range

IV infusion, hydration, each additional hour

$295K

2,837 claims · 1.1%

Your Cost: $103.91/claim|Median: $38.92
2.7× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$285K

284 claims · 1.0%

Your Cost: $1,003.94/claim|Median: $123.40
8.1× median
71260Top 5%

CT chest with contrast

$253K

882 claims · 0.9%

Your Cost: $286.70/claim|Median: $48.36
5.9× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$230K

1,768 claims · 0.8%

Your Cost: $130.21/claim|Median: $29.03
4.5× median
96365Normal range

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

$222K

2,408 claims · 0.8%

Your Cost: $92.30/claim|Median: $54.77
1.7× median
73562Top 5%

$222K

2,603 claims · 0.8%

Your Cost: $85.35/claim|Median: $12.28
7.0× median
80076Top 10%

Hepatic function panel

$215K

15K claims · 0.8%

Your Cost: $14.49/claim|Median: $4.59
3.2× median
85027Top 10%

Complete blood count (CBC), automated

$205K

23K claims · 0.7%

Your Cost: $8.86/claim|Median: $3.72
2.4× median
Q3014Top 5%

Telehealth originating site facility fee

$192K

5,159 claims · 0.7%

Your Cost: $37.30/claim|Median: $15.37
2.4× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$181K

7,658 claims · 0.7%

Your Cost: $23.65/claim|Median: $3.42
6.9× median
76856Top 10%

Ultrasound, pelvic, complete

$178K

1,465 claims · 0.7%

Your Cost: $121.82/claim|Median: $47.58
2.6× median
93976Top 25%

$175K

1,358 claims · 0.6%

Your Cost: $128.90/claim|Median: $42.06
3.1× median
72125Top 5%

CT cervical spine without contrast

$174K

700 claims · 0.6%

Your Cost: $248.63/claim|Median: $32.30
7.7× median
71045Top 5%

Chest X-ray, single view

$157K

2,884 claims · 0.6%

Your Cost: $54.52/claim|Median: $4.93
11.1× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$148K

900 claims · 0.5%

Your Cost: $164.83/claim|Median: $10.88
15.1× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$147K

1,429 claims · 0.5%

Your Cost: $102.53/claim|Median: $13.55
7.6× median
76830Top 10%

Ultrasound, transvaginal

$145K

1,359 claims · 0.5%

Your Cost: $107.02/claim|Median: $57.47
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$145K

667 claims · 0.5%

Your Cost: $216.90/claim|Median: $60.19
3.6× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$128K

177 claims · 0.5%

Your Cost: $724.20/claim|Median: $255.03
2.8× median
73130Top 5%

$127K

1,723 claims · 0.5%

Your Cost: $73.43/claim|Median: $10.69
6.9× median
70553Top 10%

MRI brain without contrast, then with contrast

$126K

233 claims · 0.5%

Your Cost: $541.70/claim|Median: $133.68
4.1× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$124K

1,693 claims · 0.5%

Your Cost: $73.46/claim|Median: $12.06
6.1× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$120K

9,946 claims · 0.4%

Your Cost: $12.08/claim|Median: $1.51
8.0× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$119K

2,542 claims · 0.4%

Your Cost: $46.95/claim|Median: $16.79
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$112K

3,276 claims · 0.4%

Your Cost: $34.08/claim|Median: $35.43
1.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$111K

8,318 claims · 0.4%

Your Cost: $13.32/claim|Median: $4.71
2.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$108K

246 claims · 0.4%

Your Cost: $439.01/claim|Median: $151.68
2.9× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$106K

4,642 claims · 0.4%

Your Cost: $22.83/claim|Median: $9.87
2.3× median
36415Top 5%

Collection of venous blood by venipuncture

$105K

11K claims · 0.4%

Your Cost: $9.26/claim|Median: $1.57
5.9× median
84484Top 10%

Troponin, quantitative

$105K

6,931 claims · 0.4%

Your Cost: $15.17/claim|Median: $4.84
3.1× median
73030Top 5%

$105K

1,201 claims · 0.4%

Your Cost: $87.38/claim|Median: $10.94
8.0× median
82306Top 10%

Vitamin D, 25 hydroxy

$104K

2,724 claims · 0.4%

Your Cost: $38.13/claim|Median: $18.18
2.1× median
84702Top 10%

$103K

4,196 claims · 0.4%

Your Cost: $24.51/claim|Median: $8.25
3.0× 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

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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