| 34 | 1 | JOSE VELASQUEZ 1912941436, individual, Anthony | NM | 97 | $265K | - Listed on the CA Medicaid exclusion list since October 30, 2013.
- Medicaid still paid claims in 17 later months, $265,322 in total.
- 100% of Medicaid dollars are on codes with a history of abuse.
|
| 64 | 1 | MOHAMED ASWAD 1871571406, individual, Deming | NM | 96 | $901K | - Listed on the OIG exclusion list since January 20, 2016.
- Medicaid still paid claims in 55 later months, $901,321 in total.
|
| 229 | 1 | AMOS LASH 1639133788, individual, Silver City | NM | 94 | $25K | - Listed on the CA Medicaid exclusion list since October 21, 2011.
- Medicaid still paid claims in 25 later months, $24,519 in total.
|
| 333 | 1 | SUSANNE KEE 1578759007, individual, Silver City | NM | 94 | $4K | - Adjudicated (pleaded guilty, complaint) per a state attorney general release dated August 14, 2025.
- Medicaid paid $4,074 in the last 12 observed months.
|
| 527 | 1 | KEITH LEVITT 1922346428, individual, Albuquerque | NM | 90 | $0 | - Adjudicated (pleaded guilty) per a state attorney general release dated October 16, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 816 | 3 | KLARUS HEALTH CARE, LLC 1831412741, organization, Albuquerque | NM | 69 | $101K | - Part of provider network D1-00077, ranked 77 nationally.
- Medicaid dollars per patient on code G0495 ($281 per patient-month) sit in the top 5% of every provider billing that code.
|
| 830 | 3 | NEW MEXICO HEALTHCARE SERVICES, LLC 1134174063, organization, Clovis | NM | 68 | $3.2M | - Part of provider network D1-00062, ranked 62 nationally.
- 78% of Medicaid dollars are on codes with a history of abuse.
|
| 892 | 3 | SAFEWAY MEDICAL TRANSPORTATION 1306342571, organization, Albuquerque | NM | 67 | $11.0M | - Charged (complaint) per a Department of Justice release dated June 23, 2026, not adjudicated.
- Medicaid paid $11,014,169 in the last 12 observed months.
|
| 1380 | 3 | FALCON SOUTH PLAINS HOSPICE LP 1811238025, organization, Clovis | NM | 65 | $76K | - Part of provider network D1-00062, ranked 62 nationally.
|
| 1423 | 3 | NEW MEXICO HEALTHCARE SERVICES LLC 1851613343, organization, Hobbs | NM | 65 | $50K | - Part of provider network D1-00062, ranked 62 nationally.
|
| 1460 | 3 | HIGH DESERT HOSPICE LLC 1992182422, organization, Albuquerque | NM | 64 | $31K | - Part of provider network D1-00062, ranked 62 nationally.
|
| 1521 | 3 | NANCY MARSHALL 1073064028, individual, Las Cruces | NM | 64 | $12K | - Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated.
- Medicaid paid $11,818 in the last 12 observed months.
|
| 1522 | 3 | EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC 1730698309, organization, Las Cruces | NM | 64 | $12K | - Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated.
- Medicaid paid $11,818 in the last 12 observed months.
|
| 1714 | 3 | MOUNTAIN HOME HEALTH CARE, INC. 1215932587, organization, Taos | NM | 62 | $0 | - Part of provider network D1-00051, ranked 51 nationally.
- 93% of Medicaid dollars are on codes with a history of abuse.
|
| 2074 | 3 | MORGAN ORTIZ 1376106740, individual, Albuquerque | NM | 60 | $0 | - Charged (indicted) per a state attorney general release dated November 1, 2024, not adjudicated.
|
| 3243 | 3 | BILLET HOSPICE INC - ALBUQUERQUE 1083323315, organization, Albuquerque | NM | 60 | $0 | - Part of provider network D1-00048, ranked 48 nationally.
|
| 3498 | 3 | BOSQUE TRAILS HOSPICE LLC 1104563923, organization, Albuquerque | NM | 60 | $0 | - Part of provider network D1-00077, ranked 77 nationally.
|
| 3927 | 3 | NEW MEXICO HEALTHCARE SERVICES, LLC 1528386513, organization, Las Cruces | NM | 60 | $0 | - Part of provider network D1-00062, ranked 62 nationally.
|
| 4625 | 3 | JUSTUS, LLC 1255433579, organization, Albuquerque | NM | 60 | $0 | - Part of provider network D1-00077, ranked 77 nationally.
|
| 4781 | 3 | BILLET HOME HEALTH INC - ALBUQUERQUE 1689192965, organization, Albuquerque | NM | 60 | $0 | - Part of provider network D1-00048, ranked 48 nationally.
|
| 6391 | 3 | ABQ HOSPICE & PALLIATIVE CARE CO. 1306685847, organization, Albuquerque | NM | 60 | $0 | - Part of provider network D1-00018, ranked 18 nationally.
|
| 7076 | 3 | NEW MEXICO HEALTHCARE SERVICES LLC 1518239276, organization, Roswell | NM | 60 | $0 | - Part of provider network D1-00062, ranked 62 nationally.
|
| 7443 | 4 | JAIME SANCHEZ 1093178766, individual, Las Cruces | NM | 56 | $5.3M | - Hours beyond a day in 42 months, but with up to 835 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99309 ($298 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7476 | 4 | ROBBEN GINGERY 1255422101, individual, Rio Rancho | NM | 56 | $4.5M | - Hours beyond a day in 37 months, but with up to 665 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($336 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7597 | 4 | OBIEFUNA OKOLI 1457560492, individual, Las Cruces | NM | 55 | $2.7M | - Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99233 ($382 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7644 | 4 | ALEKSANDR GAZAROV 1932282225, individual, Santa Teresa | NM | 55 | $2.3M | - Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99232 ($321 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7661 | 4 | CHRISTOPHER PERCY 1992786727, individual, Shiprock | NM | 55 | $2.2M | - Hours beyond a day in 3 months, but with up to 732 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 0001A ($537 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7881 | 4 | WENDEE BURNETT 1750425344, individual, Rio Rancho | NM | 55 | $772K | - Hours beyond a day in 5 months, but with up to 372 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99233 ($360 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7898 | 4 | SARA MICHAELS 1790774552, individual, Shiprock | NM | 55 | $689K | - Hours beyond a day in 1 month, but with up to 499 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99213 ($612 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8840 | 4 | STACY TAYLOR 1740595289, individual, Albuquerque | NM | 51 | $1.5M | - Hours beyond a day in 13 months, but with up to 1179 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9461 | 4 | ALYSE HOWARD 1174062327, individual, Las Cruces | NM | 50 | $208K | - Hours beyond a day in 1 month, but with up to 100 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9968 | 5 | BARNIE RODRIGUEZ 1639395221, individual, Roswell | NM | 35 | $2.0M | - Medicaid dollars per patient on code 99232 ($201 per patient-month) sit in the top 5% of every provider billing that code.
|
| 9976 | 5 | MARCO CERVANTES 1730527292, individual, Deming | NM | 35 | $1.9M | - Medicaid dollars per patient on code 90832 ($313 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10003 | 5 | RUBEN SUPAN 1619392883, individual, Roswell | NM | 35 | $1.7M | - Medicaid dollars per patient on code 99223 ($182 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10160 | 5 | PETER SANGRA 1265873947, individual, Santa Teresa | NM | 35 | $765K | - Medicaid dollars per patient on code 99214 ($322 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10229 | 5 | REBECCA GALE 1801220975, individual, Farmington | NM | 35 | $579K | - Medicaid dollars per patient on code 90834 ($1371 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10257 | 5 | HEATHER KOVICH 1972615912, individual, Shiprock | NM | 35 | $506K | - Medicaid dollars per patient on code 99213 ($467 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10377 | 5 | JANE-FRANCES SHITI 1215461629, individual, Rio Rancho | NM | 34 | $224K | - Medicaid dollars per patient on code 99309 ($151 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10468 | 5 | ANGELA MARTIN 1265449227, individual, Albuquerque | NM | 34 | $76K | - Medicaid dollars per patient on code 99213 ($377 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10583 | 5 | SARAH HO 1477049856, individual, Albuquerque | NM | 33 | $887K | - 73% of Medicaid dollars are on codes with a history of abuse.
|
| 10757 | 5 | JERRIED NOSEFF 1477787208, individual, Hobbs | NM | 31 | $2.6M | |
| 10767 | 5 | LANCE DELONG 1205165974, individual, Hobbs | NM | 31 | $2.4M | |
| 10787 | 5 | MARTY SCHMIDT 1639130248, individual, Hobbs | NM | 31 | $2.2M | |
| 10803 | 5 | JOSE GARCIA 1801990932, individual, Hobbs | NM | 31 | $2.1M | |
| 10972 | 5 | ABELARDO GARCIA 1083668370, individual, Roswell | NM | 31 | $1.2M | |
| 11037 | 5 | VICTOR ILOG 1134628563, individual, Las Cruces | NM | 31 | $967K | |
| 11126 | 5 | JUAN HERNANDEZ 1457657157, individual, Sunland Park | NM | 31 | $718K | |
| 11227 | 5 | PETER SMITH 1508061169, individual, Santa Teresa | NM | 31 | $474K | |
| 11481 | 5 | EDUARDO CASTREJON 1093702987, individual, Las Cruces | NM | 30 | $189K | |