Medicare provider payments and utilization data for New Mexico (NM)
New Mexico received $3.4B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $40.4M in payments across 73 providers.
In 2023, 6.3K providers were actively billing Medicare in New Mexico.
Annual Medicare spending grew 24% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $295.0M | 8.1M | 5.5K | — |
| 2015 | $313.3M | 8.7M | 5.7K | +6.2% |
| 2016 | $325.0M | 9.4M | 5.9K | +3.7% |
| 2017 | $332.8M | 9.0M | 5.9K | +2.4% |
| 2018 | $353.5M | 9.7M | 6.0K | +6.2% |
| 2019 | $366.4M | 10.1M | 6.2K | +3.6% |
| 2020 | $329.8M | 9.0M | 6.0K | -10.0% |
| 2021 | $378.2M | 9.8M | 6.0K | +14.7% |
| 2022 | $358.5M | 9.6M | 6.2K | -5.2% |
| 2023 | $366.5M | 10.2M | 6.3K | +2.2% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $34.8M | 463.8K | 2.7K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $17.8M | 332.9K | 2.4K |
| J0178 | Injection, aflibercept, 1 mg | $13.9M | 20.1K | 17 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $10.0M | 19.9K | 60 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $9.8M | 338.5K | 15 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $8.8M | 22.2K | 52 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $7.5M | 67.9K | 958 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $6.1M | 366.2K | 352 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $6.1M | 103.2K | 832 |
| 99285 | Emergency department visit with high level of medical decision making | $5.9M | 43.7K | 406 |
| J9271 | Injection, pembrolizumab, 1 mg | $5.6M | 131.0K | 12 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $5.5M | 55.1K | 1.2K |
| J0897 | Injection, denosumab, 1 mg | $5.4M | 298.9K | 48 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $5.4M | 60.7K | 520 |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | $5.2M | 1.1K | 7 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $4.7M | 40.2K | 487 |
| A0436 | Rotary wing air mileage, per statute mile | $4.0M | 123.9K | 7 |
| 97530 | Therapy procedure using functional activities | $3.9M | 174.7K | 284 |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | $3.9M | 967 | 8 |
| A0425 | Ground mileage, per statute mile | $3.6M | 485.4K | 59 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $40.4M | 73 | $552.8K |
| Ambulance Service Provider | $33.0M | 73 | $451.6K |
| Nurse Practitioner | $26.9M | 1.2K | $21.7K |
| Internal Medicine | $25.3M | 413 | $61.2K |
| Family Practice | $19.9M | 557 | $35.7K |
| Diagnostic Radiology | $18.8M | 165 | $114.2K |
| Ambulatory Surgical Center | $17.7M | 18 | $981.7K |
| Physical Therapist in Private Practice | $15.9M | 347 | $45.9K |
| Hematology-Oncology | $12.4M | 44 | $282.7K |
| Physician Assistant | $11.7M | 534 | $21.9K |
| Clinical Laboratory | $9.3M | 9 | $1.0M |
| Dermatology | $9.0M | 43 | $208.4K |
| Emergency Medicine | $8.8M | 327 | $26.8K |
| Cardiology | $8.7M | 79 | $109.6K |
| Orthopedic Surgery | $8.0M | 110 | $73.0K |
| Rheumatology | $7.6M | 28 | $272.6K |
| Mass Immunizer Roster Biller | $7.4M | 126 | $58.4K |
| Podiatry | $7.1M | 98 | $72.2K |
| Nephrology | $6.4M | 43 | $148.5K |
| Centralized Flu | $5.0M | 60 | $82.9K |
| Optometry | $4.8M | 156 | $30.6K |
| Radiation Oncology | $4.7M | 16 | $294.8K |
| Urology | $2.9M | 34 | $85.3K |
| Gastroenterology | $2.9M | 46 | $62.9K |
| Neurology | $2.8M | 63 | $44.7K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.