Providers
All 12 in NM
OBIEFUNA CHIDOZIE OKOLI, M.D
NPI 1457560492, individual, Las Cruces, NM, Internal Medicine, Infectious Disease
4
Evidence tier
structure or single-organization volume
- 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.
score 55 of 100, rank 7597, $2.7M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2020 | More hours than a day holds at a conservative unit price | 21.8 | 36.5 | 24.3 | 34.3 | 226 | 1 | 99213 99223 99233 | $56K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 23.5 | 40.7 | 27.1 | 37.0 | 299 | 1 | 99213 99214 99223 99232 99233 | $63K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 21.0 | 43.3 | 28.9 | 38.9 | 229 | 1 | 99213 99214 99223 99233 99291 | $71K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 22.2 | 43.5 | 29.0 | 42.8 | 272 | 1 | 99213 99214 99223 99232 99233 99291 | $75K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | OBIEFUNA CHIDOZIE OKOLI, M.D |
| Type | Individual |
| Status | Active |
| NPI issued | May 22, 2007, last updated June 21, 2011 |
| Practice location | 2801 MISSOURI AVE, SUITE 12, Las Cruces, NM 88011-5075, 575-522-6900 |
| Specialties | Internal Medicine, Infectious Disease (207RI0200X, primary, license MD2010-0176 NM) Internal Medicine, Infectious Disease (207RI0200X, license ME106648 FL) Internal Medicine, Infectious Disease (207RI0200X, license 51559-020 WI) Internal Medicine (207R00000X, license 125049913 IL) |
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 | 65% | $382 | $96 (top 5% from $249) | 99th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $624K | 22% | $143 | $81 (top 5% from $170) | 90th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $155K | 6% | $56 | $44 (top 5% from $110) | 67th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $106K | 4% | $83 | $60 (top 5% from $133) | 73rd percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $47K | 2% | $135 | $67 (top 5% from $174) | 89th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $25K | 1% | $89 | $67 (top 5% from $121) | 77th percentile | |
| 99291 | Critical care, first 30-74 minutes | $9K | 0% | $286 | $175 (top 5% from $536) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $3K | 0% | $184 | $88 (top 5% from $210) | too few months to rank |
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 |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,979 | 379 | $179K | $234 | $114 | 2.1x | 2.6x (90th percentile 4.7x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 511 | 406 | $67K | $342 | $166 | 2.1x | 3.0x (90th percentile 5.6x) |
| 99291 | Critical care, first 30-74 minutes | 179 | 42 | $29K | $535 | $205 | 2.6x | 4.7x (90th percentile 10.0x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 362 | 171 | $23K | $174 | $86 | 2.0x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 86 | 61 | $8K | $247 | $121 | 2.0x | 2.3x (90th percentile 3.8x) |
| 36589 | Removal of tunneled central venous tube | 34 | 34 | $4K | $323 | $153 | 2.1x | 3.6x (90th percentile 7.8x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 64 | 17 | $4K | $156 | $75 | 2.1x | 2.6x (90th percentile 4.3x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 45 | 45 | $3K | $217 | $106 | 2.0x | 2.4x (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
12 providers in Doña Ana County, NM carry an indicator in the public record, with $11.2M 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 | JAIME SANCHEZ Las Cruces, NM, ranked 7443 | $5.3M |
|
| 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.
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.