Providers

JAIME SANCHEZ, agacnp

NPI 1093178766, individual, Las Cruces, NM, Nurse Practitioner, Family

4
Evidence tier
structure or single-organization volume
  • 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.
score 56 of 100, rank 7443, $5.3M at stake

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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Aug 2020More hours than a day holds at a conservative unit price13.638.525.737.9292199223 99233 99308 99309$44K
Sep 2020More hours than a day holds at a conservative unit price17.345.830.541.6356199223 99233 99308 99309 99310$48K
Oct 2020More hours than a day holds at a conservative unit price18.946.831.244.0375199223 99233 99309 99310$56K
Nov 2020More hours than a day holds, even counting one unit per claim line24.459.639.856.8248199223 99233 99309 99310$53K
Dec 2020More hours than a day holds at a conservative unit price20.052.535.047.2276199223 99233 99309 99310$50K
Jan 2021More hours than a day holds at a conservative unit price13.740.326.839.6241199223 99233 99309 99310$43K
Jan 2022More hours than a day holds at a conservative unit price16.746.230.845.4329199214 99223 99233 99308 99309 99310$54K
Feb 2022More hours than a day holds at a conservative unit price22.557.638.453.8398199213 99223 99233 99309 99310$62K
Mar 2022More hours than a day holds, even counting one unit per claim line27.961.941.255.6521199213 99223 99233 99239 99309 99310$78K
Apr 2022More hours than a day holds, even counting one unit per claim line26.758.939.356.1520199213 99214 99223 99233 99239 99308 99309 99310$75K
May 2022More hours than a day holds, even counting one unit per claim line24.251.234.148.1457199213 99214 99223 99233 99239 99309 99310$65K
Jun 2022More hours than a day holds at a conservative unit price22.852.434.947.6415199213 99214 99223 99233 99309 99310$64K
Jul 2022More hours than a day holds, even counting one unit per claim line28.273.449.072.3486199213 99214 99223 99233 99309 99310$81K
Aug 2022More hours than a day holds, even counting one unit per claim line32.085.857.277.1606199213 99214 99223 99232 99233 99309 99310$100K
Sep 2022More hours than a day holds, even counting one unit per claim line29.667.545.061.4615199204 99213 99214 99223 99233 99291 99308 99309 99310$85K
Oct 2022More hours than a day holds, even counting one unit per claim line24.668.545.767.5522199213 99214 99223 99233 99306 99308 99309 99310$75K
Nov 2022More hours than a day holds, even counting one unit per claim line35.989.359.581.2623199213 99214 99223 99233 99291 99306 99309 99310$109K
Dec 2022More hours than a day holds, even counting one unit per claim line43.9103.468.997.1688199213 99214 99223 99233 99239 99291 99306 99308 99309 99310$125K
Jan 2023More hours than a day holds, even counting one unit per claim line36.3110.873.9104.1692199205 99213 99214 99223 99233 99239 99306 99309 99310 99349$124K
Feb 2023More hours than a day holds, even counting one unit per claim line37.5102.068.095.2683199203 99213 99214 99223 99233 99239 99306 99309 99310 99349$104K
Mar 2023More hours than a day holds, even counting one unit per claim line31.572.348.265.0699199205 99213 99214 99223 99233 99239 99291 99306 99309 99310 99349$97K
Apr 2023More hours than a day holds, even counting one unit per claim line36.780.253.580.2817199213 99214 99223 99233 99239 99291 99306 99309 99310 99349$110K
May 2023More hours than a day holds, even counting one unit per claim line39.689.059.380.0835199205 99213 99214 99223 99233 99239 99291 99306 99309 99310 99349$121K
Jun 2023More hours than a day holds, even counting one unit per claim line44.890.460.382.2799199213 99214 99223 99233 99239 99291 99306 99308 99309 99310 99349$135K
Jul 2023More hours than a day holds, even counting one unit per claim line37.0105.670.4104.0781199203 99213 99214 99223 99233 99239 99291 99306 99308 99309 99310 99349$159K
Aug 2023More hours than a day holds, even counting one unit per claim line39.0116.877.9105.0818199203 99213 99214 99223 99233 99239 99306 99308 99309 99310 99349$174K
Sep 2023More hours than a day holds, even counting one unit per claim line39.2131.887.9125.5711199213 99214 99223 99233 99239 99306 99308 99309 99310 99349$172K
Oct 2023More hours than a day holds, even counting one unit per claim line37.4128.785.8120.9736199203 99213 99214 99223 99233 99306 99308 99309 99310 99349$178K
Nov 2023More hours than a day holds, even counting one unit per claim line38.3117.678.4106.9668199213 99214 99223 99233 99308 99309 99310 99349$169K
Dec 2023More hours than a day holds, even counting one unit per claim line29.093.562.392.0529199213 99214 99223 99233 99306 99308 99309 99310 99349$135K
Jan 2024More hours than a day holds, even counting one unit per claim line41.0125.283.5112.5711199213 99214 99223 99233 99306 99308 99309 99310 99349$192K
Feb 2024More hours than a day holds, even counting one unit per claim line39.6116.477.6107.2679199203 99213 99214 99223 99233 99306 99308 99309 99310 99349$174K
Mar 2024More hours than a day holds, even counting one unit per claim line27.880.953.979.6655199203 99213 99214 99223 99233 99308 99309 99310 99349$135K
Apr 2024More hours than a day holds, even counting one unit per claim line36.6102.768.493.3717199205 99213 99214 99223 99233 99306 99308 99309 99310 99349$167K
May 2024More hours than a day holds, even counting one unit per claim line32.092.261.582.9666199203 99205 99213 99214 99223 99233 99306 99308 99309 99310 99349$144K
Jun 2024More hours than a day holds, even counting one unit per claim line28.480.053.380.0509199203 99213 99214 99223 99233 99308 99309 99310 99349$118K
Jul 2024More hours than a day holds, even counting one unit per claim line35.3103.268.892.7665199203 99205 99213 99214 99223 99233 99306 99308 99309 99310 99349$160K
Aug 2024More hours than a day holds, even counting one unit per claim line30.288.458.983.0662199203 99205 99213 99214 99223 99233 99308 99309 99310 99349$145K
Sep 2024More hours than a day holds, even counting one unit per claim line27.483.755.879.7623199213 99214 99223 99233 99308 99309 99310 99349$127K
Oct 2024More hours than a day holds, even counting one unit per claim line25.484.356.275.7560199205 99213 99214 99223 99233 99308 99309 99310 99349$124K
Nov 2024More hours than a day holds, even counting one unit per claim line24.876.851.273.2350199213 99214 99223 99233 99308 99309 99310 99349$107K
Dec 2024More hours than a day holds at a conservative unit price13.148.532.445.6193199214 99223 99233 99309$68K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJAIME SANCHEZ, agacnp (also JAIME SANCHEZ)
TypeIndividual
StatusActive
NPI issuedMarch 31, 2016, last updated July 2, 2026
Practice location530 N TELSHOR BLVD STE A, Las Cruces, NM 88011-8243, 575-303-2929
Mailing addressPO 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$2.2M38%$298$96 (top 5% from $249)97th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$1.1M19%$182$81 (top 5% from $170)96th percentile
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$964K16%$165$21 (top 5% from $84)99th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$668K11%$168$60 (top 5% from $133)98th percentile
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes$221K4%$117$30 (top 5% from $134)93rd percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$130K2%$83$44 (top 5% from $110)89th percentile
H0020Medicaid service code$114K2%$272$214 (top 5% from $529)59th percentile
99291Critical care, first 30-74 minutes$67K1%$482$175 (top 5% from $536)93rd percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7,433404$458K$139$811.7x2.0x (90th percentile 3.3x)
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1,267278$111K$207$1151.8x2.0x (90th percentile 3.4x)
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,030154$70K$197$962.0x2.0x (90th percentile 3.4x)
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more985259$66K$165$961.7x2.3x (90th percentile 3.8x)
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes66070$45K$158$891.8x2.6x (90th percentile 4.7x)
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more261236$27K$254$1371.9x1.9x (90th percentile 3.1x)
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more595116$25K$105$561.9x2.0x (90th percentile 3.4x)
80307Testing for presence of drug, by chemistry analyzers27986$17K$95$611.6x3.2x (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.

tierproviderat stakewhy
1JOSE VELASQUEZ
Anthony, NM, ranked 34
$265K
  • Listed on the CA Medicaid exclusion list since October 30, 2013.
  • Medicaid still paid claims in 17 later months, $265,322 in total.
  • and 1 more
3NANCY MARSHALL
Las Cruces, NM, ranked 1521
$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.
3EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC
Las Cruces, NM, ranked 1522
$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.
3NEW MEXICO HEALTHCARE SERVICES, LLC
Las Cruces, NM, ranked 3927
$0
  • Part of provider network D1-00062, ranked 62 nationally.
4OBIEFUNA OKOLI
Las Cruces, NM, ranked 7597
$2.7M
  • Hours beyond a day in 4 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4ALEKSANDR GAZAROV
Santa Teresa, NM, ranked 7644
$2.3M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4ALYSE HOWARD
Las Cruces, NM, ranked 9461
$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.
5PETER SANGRA
Santa Teresa, NM, ranked 10160
$765K
  • Medicaid dollars per patient on code 99214 ($322 per patient-month) sit in the top 5% of every provider billing that code.
All 12 in NM

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.

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