ALEKSANDR G GAZAROV, M.D.
NPI 1932282225, individual, Santa Teresa, NM, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 3 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 99232 ($321 per patient-month) sit in the top 5% of every provider billing that code.
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 2019 | More hours than a day holds at a conservative unit price | 6.1 | 40.6 | 27.0 | 37.9 | 211 | 1 | 90792 99213 99214 99232 99238 | $31K |
| Jul 2019 | More hours than a day holds at a conservative unit price | 5.5 | 44.3 | 29.6 | 39.8 | 237 | 1 | 90792 99213 99214 99232 99238 | $38K |
| Oct 2019 | More hours than a day holds at a conservative unit price | 5.3 | 43.2 | 28.8 | 38.8 | 218 | 1 | 90792 99213 99214 99232 99238 | $36K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALEKSANDR G GAZAROV, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 23, 2006, last updated May 11, 2012 |
| Practice location | 101 LIVINGSTON LOOP, BLDG C, SUITE 3, Santa Teresa, NM 88008-9442, 575-589-2022 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license MD2004-0757 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.3M | 49% | $321 | $67 (top 5% from $174) | 99th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $598K | 22% | $142 | $112 (top 5% from $313) | 68th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $233K | 9% | $70 | $48 (top 5% from $80) | 89th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $215K | 8% | $55 | $44 (top 5% from $110) | 66th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $211K | 8% | $87 | $60 (top 5% from $133) | 76th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $122K | 4% | $325 | $96 (top 5% from $249) | 98th percentile | |
| S9999 | Medicaid service code | $6K | 0% | $13 | $5.43 (top 5% from $52) | 81st percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 403 | 37 | $24K | $125 | $75 | 1.7x | 2.6x (90th percentile 4.3x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 99 | 16 | $9K | $200 | $113 | 1.8x | 2.6x (90th percentile 4.7x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 64 | 52 | $8K | $300 | $170 | 1.8x | 2.2x (90th percentile 3.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 132 | 35 | $7K | $125 | $81 | 1.5x | 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 | 73 | 32 | $6K | $175 | $120 | 1.5x | 2.3x (90th percentile 3.8x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 50 | 36 | $3K | $135 | $77 | 1.8x | 2.6x (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
12 providers in Doña Ana County, NM carry an indicator in the public record, with $11.6M 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.
| 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 | OBIEFUNA OKOLI Las Cruces, NM, ranked 7597 | $2.7M |
|
| 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.
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.