JOSE ROBERTO VELASQUEZ, Case Manager

NPI 1912941436, individual, Anthony, NM, Case Manager/Care Coordinator

Evidence tier

documented action, then payment

Listed on the CA Medicaid exclusion list since October 30, 2013.
Medicaid still paid claims in 17 later months, $265,322 in total.
100% of Medicaid dollars are on codes with a history of abuse.

score 97 of 100, rank 34, $265K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
CA Medicaid exclusion list ca medi-cal suspended & ineligible provider list (july 2026)	Exact NPI, name verified	Oct 30, 2013	still open	17	Apr 2020	Aug 2021	$265K	$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	JOSE ROBERTO VELASQUEZ, Case Manager
Type	Individual
Status	Active
NPI issued	June 15, 2006, last updated November 4, 2019
Practice location	826 ANTHONY DR, Anthony, NM 88021, 575-201-5135
Mailing address	385 CALLE DE ALEGRA STE A, Las Cruces, NM 88005-3423
Specialties	Counselor, Addiction (Substance Use Disorder) (101YA0400X) Case Manager/Care Coordinator (171M00000X, primary)

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
H2015	Comprehensive community support services per 15 minhistory of abuse	$265K	100%	$1K	$344 (top 5% from $2K)	84th percentile

In this area

12 providers in Doña Ana County, NM carry an indicator in the public record, with $13.6M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by named in an enforcement record on 2.

tier	provider	at stake	why
3	NANCY 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.
3	EQUINE 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.
3	NEW MEXICO HEALTHCARE SERVICES, LLC Las Cruces, NM, ranked 3927	$0	Part of provider network D1-00062, ranked 62 nationally.
4	JAIME SANCHEZ Las Cruces, NM, ranked 7443	$5.3M	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. and 1 more
4	OBIEFUNA 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
4	ALEKSANDR 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
4	ALYSE 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.
5	PETER 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

Recent enforcement in NM

All releases

Department 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.

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