JAIME SANCHEZ, agacnp
NPI 1093178766, individual, Las Cruces, NM, Nurse Practitioner, Family
- 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.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2020 | More hours than a day holds at a conservative unit price | 13.6 | 38.5 | 25.7 | 37.9 | 292 | 1 | 99223 99233 99308 99309 | $44K |
| Sep 2020 | More hours than a day holds at a conservative unit price | 17.3 | 45.8 | 30.5 | 41.6 | 356 | 1 | 99223 99233 99308 99309 99310 | $48K |
| Oct 2020 | More hours than a day holds at a conservative unit price | 18.9 | 46.8 | 31.2 | 44.0 | 375 | 1 | 99223 99233 99309 99310 | $56K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 24.4 | 59.6 | 39.8 | 56.8 | 248 | 1 | 99223 99233 99309 99310 | $53K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 20.0 | 52.5 | 35.0 | 47.2 | 276 | 1 | 99223 99233 99309 99310 | $50K |
| Jan 2021 | More hours than a day holds at a conservative unit price | 13.7 | 40.3 | 26.8 | 39.6 | 241 | 1 | 99223 99233 99309 99310 | $43K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 16.7 | 46.2 | 30.8 | 45.4 | 329 | 1 | 99214 99223 99233 99308 99309 99310 | $54K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 22.5 | 57.6 | 38.4 | 53.8 | 398 | 1 | 99213 99223 99233 99309 99310 | $62K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 27.9 | 61.9 | 41.2 | 55.6 | 521 | 1 | 99213 99223 99233 99239 99309 99310 | $78K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 26.7 | 58.9 | 39.3 | 56.1 | 520 | 1 | 99213 99214 99223 99233 99239 99308 99309 99310 | $75K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 24.2 | 51.2 | 34.1 | 48.1 | 457 | 1 | 99213 99214 99223 99233 99239 99309 99310 | $65K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 22.8 | 52.4 | 34.9 | 47.6 | 415 | 1 | 99213 99214 99223 99233 99309 99310 | $64K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 73.4 | 49.0 | 72.3 | 486 | 1 | 99213 99214 99223 99233 99309 99310 | $81K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 32.0 | 85.8 | 57.2 | 77.1 | 606 | 1 | 99213 99214 99223 99232 99233 99309 99310 | $100K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 29.6 | 67.5 | 45.0 | 61.4 | 615 | 1 | 99204 99213 99214 99223 99233 99291 99308 99309 99310 | $85K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 24.6 | 68.5 | 45.7 | 67.5 | 522 | 1 | 99213 99214 99223 99233 99306 99308 99309 99310 | $75K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 35.9 | 89.3 | 59.5 | 81.2 | 623 | 1 | 99213 99214 99223 99233 99291 99306 99309 99310 | $109K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 43.9 | 103.4 | 68.9 | 97.1 | 688 | 1 | 99213 99214 99223 99233 99239 99291 99306 99308 99309 99310 | $125K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 36.3 | 110.8 | 73.9 | 104.1 | 692 | 1 | 99205 99213 99214 99223 99233 99239 99306 99309 99310 99349 | $124K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 37.5 | 102.0 | 68.0 | 95.2 | 683 | 1 | 99203 99213 99214 99223 99233 99239 99306 99309 99310 99349 | $104K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 31.5 | 72.3 | 48.2 | 65.0 | 699 | 1 | 99205 99213 99214 99223 99233 99239 99291 99306 99309 99310 99349 | $97K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 36.7 | 80.2 | 53.5 | 80.2 | 817 | 1 | 99213 99214 99223 99233 99239 99291 99306 99309 99310 99349 | $110K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 39.6 | 89.0 | 59.3 | 80.0 | 835 | 1 | 99205 99213 99214 99223 99233 99239 99291 99306 99309 99310 99349 | $121K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 44.8 | 90.4 | 60.3 | 82.2 | 799 | 1 | 99213 99214 99223 99233 99239 99291 99306 99308 99309 99310 99349 | $135K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 37.0 | 105.6 | 70.4 | 104.0 | 781 | 1 | 99203 99213 99214 99223 99233 99239 99291 99306 99308 99309 99310 99349 | $159K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 39.0 | 116.8 | 77.9 | 105.0 | 818 | 1 | 99203 99213 99214 99223 99233 99239 99306 99308 99309 99310 99349 | $174K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 39.2 | 131.8 | 87.9 | 125.5 | 711 | 1 | 99213 99214 99223 99233 99239 99306 99308 99309 99310 99349 | $172K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 37.4 | 128.7 | 85.8 | 120.9 | 736 | 1 | 99203 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $178K |
| Nov 2023 | More hours than a day holds, even counting one unit per claim line | 38.3 | 117.6 | 78.4 | 106.9 | 668 | 1 | 99213 99214 99223 99233 99308 99309 99310 99349 | $169K |
| Dec 2023 | More hours than a day holds, even counting one unit per claim line | 29.0 | 93.5 | 62.3 | 92.0 | 529 | 1 | 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $135K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 41.0 | 125.2 | 83.5 | 112.5 | 711 | 1 | 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $192K |
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 39.6 | 116.4 | 77.6 | 107.2 | 679 | 1 | 99203 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $174K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 27.8 | 80.9 | 53.9 | 79.6 | 655 | 1 | 99203 99213 99214 99223 99233 99308 99309 99310 99349 | $135K |
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 36.6 | 102.7 | 68.4 | 93.3 | 717 | 1 | 99205 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $167K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 32.0 | 92.2 | 61.5 | 82.9 | 666 | 1 | 99203 99205 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $144K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 28.4 | 80.0 | 53.3 | 80.0 | 509 | 1 | 99203 99213 99214 99223 99233 99308 99309 99310 99349 | $118K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 35.3 | 103.2 | 68.8 | 92.7 | 665 | 1 | 99203 99205 99213 99214 99223 99233 99306 99308 99309 99310 99349 | $160K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 30.2 | 88.4 | 58.9 | 83.0 | 662 | 1 | 99203 99205 99213 99214 99223 99233 99308 99309 99310 99349 | $145K |
| Sep 2024 | More hours than a day holds, even counting one unit per claim line | 27.4 | 83.7 | 55.8 | 79.7 | 623 | 1 | 99213 99214 99223 99233 99308 99309 99310 99349 | $127K |
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 25.4 | 84.3 | 56.2 | 75.7 | 560 | 1 | 99205 99213 99214 99223 99233 99308 99309 99310 99349 | $124K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 24.8 | 76.8 | 51.2 | 73.2 | 350 | 1 | 99213 99214 99223 99233 99308 99309 99310 99349 | $107K |
| Dec 2024 | More hours than a day holds at a conservative unit price | 13.1 | 48.5 | 32.4 | 45.6 | 193 | 1 | 99214 99223 99233 99309 | $68K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JAIME SANCHEZ, agacnp (also JAIME SANCHEZ) |
| Type | Individual |
| Status | Active |
| NPI issued | March 31, 2016, last updated July 2, 2026 |
| Practice location | 530 N TELSHOR BLVD STE A, Las Cruces, NM 88011-8243, 575-303-2929 |
| Mailing address | PO BOX 2845, Las Cruces, NM 88004-2845 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license CNP-02883 NM) Nurse Practitioner, Acute Care (363LA2100X, license CNP-02883 NM) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $2.2M | 38% | $298 | $96 (top 5% from $249) | 97th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $1.1M | 19% | $182 | $81 (top 5% from $170) | 96th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $964K | 16% | $165 | $21 (top 5% from $84) | 99th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $668K | 11% | $168 | $60 (top 5% from $133) | 98th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $221K | 4% | $117 | $30 (top 5% from $134) | 93rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $130K | 2% | $83 | $44 (top 5% from $110) | 89th percentile | |
| H0020 | Medicaid service code | $114K | 2% | $272 | $214 (top 5% from $529) | 59th percentile | |
| 99291 | Critical care, first 30-74 minutes | $67K | 1% | $482 | $175 (top 5% from $536) | 93rd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 7,433 | 404 | $458K | $139 | $81 | 1.7x | 2.0x (90th percentile 3.3x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 1,267 | 278 | $111K | $207 | $115 | 1.8x | 2.0x (90th percentile 3.4x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,030 | 154 | $70K | $197 | $96 | 2.0x | 2.0x (90th percentile 3.4x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 985 | 259 | $66K | $165 | $96 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 660 | 70 | $45K | $158 | $89 | 1.8x | 2.6x (90th percentile 4.7x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 261 | 236 | $27K | $254 | $137 | 1.9x | 1.9x (90th percentile 3.1x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 595 | 116 | $25K | $105 | $56 | 1.9x | 2.0x (90th percentile 3.4x) |
| 80307 | Testing for presence of drug, by chemistry analyzers | 279 | 86 | $17K | $95 | $61 | 1.6x | 3.2x (90th percentile 7.6x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
12 providers in Doña Ana County, NM carry an indicator in the public record, with $8.6M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JOSE VELASQUEZ Anthony, NM, ranked 34 | $265K |
|
| 3 | NANCY MARSHALL Las Cruces, NM, ranked 1521 | $12K |
|
| 3 | EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC Las Cruces, NM, ranked 1522 | $12K |
|
| 3 | NEW MEXICO HEALTHCARE SERVICES, LLC Las Cruces, NM, ranked 3927 | $0 |
|
| 4 | OBIEFUNA OKOLI Las Cruces, NM, ranked 7597 | $2.7M |
|
| 4 | ALEKSANDR GAZAROV Santa Teresa, NM, ranked 7644 | $2.3M |
|
| 4 | ALYSE HOWARD Las Cruces, NM, ranked 9461 | $208K |
|
| 5 | PETER SANGRA Santa Teresa, NM, ranked 10160 | $765K |
|
Recent enforcement in NM
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.