Providers
ROBBEN RAINES GINGERY, MD
NPI 1255422101, individual, Rio Rancho, NM, 2084P0800X
4
Evidence tier
structure or single-organization volume
- 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.
score 56 of 100, rank 7476, $4.5M 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.
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 28.7 | 31.1 | 20.7 | 30.0 | 563 | 1 | 90792 90832 90833 90834 99223 99233 99239 99308 99309 | $71K |
| Mar 2020 | More hours than a day holds, even counting one unit per claim line | 26.8 | 30.9 | 20.6 | 29.1 | 571 | 1 | 90792 90833 90834 99223 99233 99239 99308 99309 | $76K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 24.5 | 27.0 | 18.0 | 24.6 | 434 | 1 | 90792 90832 90833 90834 99223 99233 99239 99308 99309 | $65K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 24.5 | 26.8 | 17.9 | 25.2 | 425 | 1 | 90792 90832 90833 90834 99223 99233 99239 99308 99309 | $67K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 33.8 | 32.6 | 21.7 | 32.1 | 577 | 1 | 90792 90832 90833 90834 99223 99233 99239 99309 | $90K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 38.9 | 35.7 | 23.8 | 33.3 | 665 | 1 | 90792 90832 90833 90834 99223 99233 99239 99308 99309 | $90K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 32.1 | 34.4 | 22.9 | 30.9 | 533 | 1 | 90792 90833 90834 99223 99233 99239 99308 99309 | $95K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 28.2 | 29.7 | 19.8 | 27.0 | 567 | 1 | 90792 90833 90834 99223 99233 99239 99308 99309 | $79K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 29.3 | 28.6 | 19.1 | 28.2 | 572 | 1 | 90792 90833 90834 99223 99233 99239 99309 | $80K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 26.2 | 24.2 | 16.1 | 22.0 | 493 | 1 | 90792 90833 90834 99223 99233 99239 99309 | $66K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 31.4 | 27.9 | 18.6 | 26.2 | 581 | 1 | 90792 90833 90834 99223 99233 99239 99309 | $77K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 29.9 | 27.3 | 18.2 | 25.6 | 561 | 1 | 90792 90833 99223 99233 99239 99308 99309 99310 | $76K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 28.5 | 28.9 | 19.3 | 26.3 | 546 | 1 | 90792 90833 99223 99233 99239 99308 99309 99310 | $77K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 24.8 | 22.0 | 14.6 | 21.6 | 511 | 1 | 90792 90833 99223 99233 99239 99308 99309 99310 | $61K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 27.9 | 28.6 | 19.1 | 26.0 | 538 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $77K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 25.0 | 28.2 | 18.8 | 27.8 | 556 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $77K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 29.3 | 29.1 | 19.4 | 27.1 | 493 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $70K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 32.6 | 32.4 | 21.6 | 29.1 | 563 | 1 | 90792 90833 99223 99233 99238 99239 99308 99309 | $87K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 32.4 | 33.2 | 22.1 | 31.6 | 587 | 1 | 90792 90833 99223 99233 99238 99239 99308 99309 | $86K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 28.5 | 19.0 | 26.7 | 466 | 1 | 90792 90833 99223 99233 99239 99309 | $77K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 28.7 | 33.3 | 22.2 | 30.2 | 475 | 1 | 90792 90833 99213 99223 99233 99239 99308 99309 | $86K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 33.6 | 26.7 | 17.8 | 26.3 | 416 | 1 | 90792 90833 99223 99233 99239 99309 | $71K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 28.2 | 25.5 | 17.0 | 22.9 | 438 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $69K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 26.4 | 31.0 | 20.6 | 28.1 | 421 | 1 | 90792 90833 90834 99223 99233 99238 99239 99309 | $81K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 27.4 | 30.4 | 20.3 | 30.0 | 474 | 1 | 90792 90833 99213 99223 99233 99238 99239 99309 | $83K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 26.5 | 30.9 | 20.6 | 28.1 | 507 | 1 | 90792 90833 99223 99232 99233 99239 99308 99309 | $80K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 26.3 | 30.5 | 20.3 | 28.7 | 489 | 1 | 90792 90833 99213 99223 99233 99239 99309 | $83K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 30.6 | 36.6 | 24.4 | 34.4 | 599 | 1 | 90792 90833 99213 99223 99232 99233 99238 99239 99309 | $101K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 29.8 | 32.4 | 21.6 | 30.2 | 520 | 1 | 90792 90833 99223 99233 99239 99309 | $80K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 28.7 | 34.6 | 23.1 | 31.1 | 546 | 1 | 90792 90833 99223 99233 99239 99309 | $95K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 33.3 | 36.0 | 24.0 | 36.0 | 600 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $96K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 31.2 | 32.7 | 21.8 | 29.4 | 581 | 1 | 90792 90833 99223 99233 99238 99239 99309 | $90K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 29.1 | 28.4 | 18.9 | 25.8 | 500 | 1 | 90792 90833 99223 99233 99239 99309 | $76K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 30.3 | 40.4 | 26.9 | 39.7 | 472 | 1 | 90792 90833 99223 99232 99233 99239 99308 99309 | $111K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 26.8 | 38.6 | 25.8 | 34.7 | 474 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $107K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 26.2 | 38.7 | 25.8 | 36.9 | 410 | 1 | 90792 90833 99223 99233 99239 99308 99309 | $103K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 25.0 | 37.7 | 25.1 | 35.4 | 416 | 1 | 90792 90833 99223 99233 99239 99308 99309 99310 | $103K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBBEN RAINES GINGERY, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 27, 2006, last updated June 15, 2022 |
| Practice location | 3188 SOUTHERN BLVD SE, SUITE B1, Rio Rancho, NM 87124-1990, 505-200-9158 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 91-207 NM) (2084P0805X, primary, license 91-207 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
| 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 | $1.8M | 38% | $336 | $96 (top 5% from $249) | 98th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $1.1M | 24% | $138 | $49 (top 5% from $109) | 97th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $641K | 14% | $158 | $81 (top 5% from $170) | 93rd percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $405K | 9% | $52 | $21 (top 5% from $84) | 87th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $270K | 6% | $92 | $49 (top 5% from $101) | 92nd percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $195K | 4% | $88 | $112 (top 5% from $313) | 35th percentile | |
| 90834 | Psychotherapy, 45 minutes | $110K | 2% | $66 | $101 (top 5% from $318) | 27th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $79K | 2% | $35 | $14 (top 5% from $58) | 87th percentile |
Medicare Part B 2024, largest codes
| 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 | 355 | 162 | $27K | $140 | $102 | 1.4x | 2.0x (90th percentile 3.3x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 111 | 65 | $6K | $90 | $69 | 1.3x | 2.1x (90th percentile 3.5x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 109 | 67 | $6K | $110 | $71 | 1.6x | 2.0x (90th percentile 3.4x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 39 | 39 | $4K | $252 | $174 | 1.5x | 2.2x (90th percentile 3.9x) |
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
2 providers in Sandoval County, NM carry an indicator in the public record, with $996K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | WENDEE BURNETT Rio Rancho, NM, ranked 7881 | $772K |
|
| 5 | JANE-FRANCES SHITI Rio Rancho, NM, ranked 10377 | $224K |
|
Recent enforcement in NM
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyJul 20, 2026
New Mexico Woman Pleads Guilty to $4M Medicaid Fraud
Irving, a driver for a non-emergency medical transportation company, submitted false trip records claiming she and her children were Medicaid beneficiaries without transportation and claiming trips that had not occurred, which the company used to submit fraudulent claims to New Mexico Medicaid.
DOJComplaint filedJun 23, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud
A federal civil forfeiture complaint seeks more than $2 million in seized funds alleged to be proceeds of a scheme by Safeway Medical Transportation LLC to bill New Mexico Medicaid for non-emergency medical transportation trips that did not occur, drivers driving themselves to appointments, duplicate trips, inflated mileage, and falsified transportation records, and state charges were filed against a McKinley County man for using forged prescriptions to obtain Schedule II controlled substances from a pharmacy.
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.