Providers

RUBEN ALFARO SUPAN, NP-C

NPI 1619392883, individual, Roswell, NM, Nurse Practitioner, Family

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99223 ($182 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10003, $1.7M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameRUBEN ALFARO SUPAN, NP-C
TypeIndividual, sole proprietor
StatusActive
NPI issuedFebruary 25, 2014, last updated October 27, 2023
Practice location405 W COUNTRY CLUB RD, Roswell, NM 88201-5209, 505-409-0831
Mailing addressPO BOX 8244, Roswell, NM 88202-8244
Specialties
Nurse Practitioner, Psych/Mental Health (363LP0808X, license CNP02032 NM)
Nurse Practitioner, Family (363LF0000X, primary, license CNP-02362 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$795K32%$175$67 (top 5% from $174)95th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$788K31%$182$81 (top 5% from $170)96th percentile
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$509K20%$128$96 (top 5% from $249)69th percentile
99284Emergency department visit with moderate level of medical decision making$155K6%$104$86 (top 5% from $224)67th percentile
99283Emergency department visit with low level of medical decision making$119K5%$76$60 (top 5% from $193)61st percentile
99285Emergency department visit with high level of medical decision making$64K3%$114$100 (top 5% from $264)63rd percentile
99239Hospital discharge day management, more than 30 minutes$30K1%$95$49 (top 5% from $101)93rd percentile
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$15K1%$100$63 (top 5% from $137)83rd percentile
Medicare Part B 2024, largest codes
codewhat it isservicesbeneficiariespaidsubmitted per serviceallowed per servicecharge to allowedusual for this code
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14239$7K$137$642.1x2.6x (90th percentile 4.3x)
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6145$6K$293$1412.1x3.0x (90th percentile 5.6x)
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6841$5K$205$962.1x2.6x (90th percentile 4.7x)

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

3 providers in Chaves County, NM carry an indicator in the public record, with $3.2M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3NEW MEXICO HEALTHCARE SERVICES LLC
Roswell, NM, ranked 7076
$0
  • Part of provider network D1-00062, ranked 62 nationally.
5BARNIE RODRIGUEZ
Roswell, NM, ranked 9968
$2.0M
  • Medicaid dollars per patient on code 99232 ($201 per patient-month) sit in the top 5% of every provider billing that code.
5ABELARDO GARCIA
Roswell, NM, ranked 10972
$1.2M

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.

Ask this case

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