New Mexico
#24 in Medicaid spending (1.25% of national total)
Total Spending
$13.69B
Total Claims
169.9M
Providers
4,186
Avg Cost/Claim
$81
Data Coverage Note: New Mexico has 82% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 18% of enrollees). Actual total Medicaid spending in New Mexico is significantly higher than shown.
Enrollment (Latest)
879K
Managed Care
82%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,539
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
AMBERCARE HOME HEALTH CARE CORPORATION In Home Supportive Care | $518.1M |
UNM HOSPITAL Psychologist | $463.3M |
PRESBYTERIAN HEALTHCARE SERVICES Emergency Medicine | $345.5M |
PRESBYTERIAN HEALTHCARE SERVICES Surgery | $240.2M |
DHHS, PHS, NAIHS, SHIPROCK HOSPITAL Clinic/Center | $190.6M |
NEW MEXICO CONSUMER DIRECT PERSONAL CARE, LLC Technician | $149.6M |
SAN JUAN REGIONAL MEDICAL CENTER, INC. Audiologist | $141.5M |
HERITAGE HOME HEALTHCARE SERVICES, INC. Home Health | $141.2M |
UNM MEDICAL GROUP INC Surgery | $113.5M |
EL MIRADOR INCORPORATED Contractor | $100.8M |
HOME MEDICAL EQUIPMENT SPECIALISTS LLC Durable Medical Equipment & Medical Supplies | $100.0M |
MOUNTAIN SHADOWS HOME CARE SERVICES, INC Home Health | $93.0M |
ARCA Assisted Living Facility | $91.6M |
AT-HOME PERSONAL CARE SERVICES LLC. Home Health | $88.0M |
LAS CRUCES MEDICAL CENTER LLC General Acute Care Hospital | $86.7M |
1ST CARE OF NEW MEXICO LLC In Home Supportive Care | $86.4M |
THE NEW BEGINNINGS LLC Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $85.2M |
DUNGARVIN NEW MEXICO LLC Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $84.7M |
CLOVIS HOMECARE, INC. Technician | $84.3M |
BEN ARCHER HEALTH CENTER Clinic/Center | $84.1M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| 99509 | Home visit day life activity | $1.34B |
| T1019 | Personal care ser per 15 min | $1.18B |
| T2016 | Habil res waiver per diem | $883.7M |
| 99213 | Office o/p est low 20 min | $486.8M |
| 99214 | Office o/p est mod 30 min | $472.3M |
| T2033 | Res, nos waiver per diem | $421.6M |
| 90837 | Psytx w pt 60 minutes | $334.1M |
| 99284 | Emergency dept visit mod mdm | $299.0M |
| H2021 | Com wrap-around sv, 15 min | $270.7M |
| 99285 | Emergency dept visit hi mdm | $248.0M |
| T1027 | Family training & counseling | $207.0M |
| 99283 | Emergency dept visit low mdm | $203.6M |
| H0020 | Alcohol and/or drug services | $197.1M |
| S5125 | Attendant care service /15m | $191.4M |
| A0100 | Nonemergency transport taxi | $188.1M |
| G9006 | Mccd, home monitoring | $161.6M |
| H2015 | Comp comm supp svc, 15 min | $146.6M |
| H0015 | Alcohol and/or drug services | $146.4M |
| S5145 | Child fostercare th per diem | $134.9M |
| G0463 | Hospital outpt clinic visit | $123.4M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $1.60B | 568 |
| Home Health | $1.19B | 78 |
| In Home Supportive Care | $1.02B | 23 |
| General Acute Care Hospital | $741.2M | 32 |
| Emergency Medicine | $682.5M | 42 |
| Psychologist | $557.5M | 84 |
| Counselor | $469.3M | 389 |
| Day Training, Developmentally Disabled Services | $440.5M | 30 |
| Dentist | $437.5M | 476 |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $395.9M | 16 |
| Surgery | $368.4M | 27 |
| Community/Behavioral Health | $359.1M | 167 |
| Family Medicine | $347.6M | 162 |
| Technician | $299.5M | 6 |
| Specialist | $286.6M | 53 |
| Case Management | $282.4M | 35 |
| Durable Medical Equipment & Medical Supplies | $277.1M | 117 |
| Ambulance | $248.9M | 74 |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $248.7M | 10 |
| Non-emergency Medical Transport (VAN) | $213.5M | 32 |