CHRISTOPHER ALLAN PERCY, MD
NPI 1992786727, individual, Shiprock, NM, Family Medicine
- Hours beyond a day in 3 months, but with up to 732 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 0001A ($537 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 2021 | More hours than a day holds at a conservative unit price | 5.5 | 65.2 | 43.5 | 60.9 | 732 | 1 | 99212 99213 | $439K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 3.2 | 38.6 | 25.8 | 34.7 | 547 | 1 | 99212 99213 | $292K |
| Oct 2021 | More hours than a day holds at a conservative unit price | 4.0 | 39.3 | 26.2 | 38.7 | 457 | 1 | 99212 99213 | $238K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHRISTOPHER ALLAN PERCY, MD |
| Type | Individual |
| Status | Active |
| NPI issued | November 9, 2005, last updated August 10, 2021 |
| Practice location | US HWY 491 NORTH, Shiprock, NM 87420, 505-368-6355 |
| Mailing address | PO BOX 160, Shiprock, NM 87420-0160 |
| Specialties | Family Medicine (207Q00000X, primary, license 90272 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 | |
|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $1.5M | 25% | $537 | $28 (top 5% from $147) | 99th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.0M | 17% | $493 | $44 (top 5% from $110) | 100th percentile | |
| 0002A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose | $662K | 11% | $521 | $38 (top 5% from $67) | 100th percentile | |
| 0001A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose | $563K | 9% | $519 | $36 (top 5% from $65) | 100th percentile | |
| 0064A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.25ml dosage, booster dose | $400K | 7% | $562 | $36 (top 5% from $81) | 100th percentile | |
| 0012A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose | $304K | 5% | $523 | $35 (top 5% from $67) | 100th percentile | |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | $259K | 4% | $521 | $29 (top 5% from $65) | 100th percentile | |
| 0004A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; booster dose | $259K | 4% | $557 | $37 (top 5% from $67) | too few months to rank |
In this area
2 providers in San Juan County, NM carry an indicator in the public record, with $1.2M at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | SARA MICHAELS Shiprock, NM, ranked 7898 | $689K |
|
| 5 | HEATHER KOVICH Shiprock, NM, ranked 10257 | $506K |
|
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.