Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Presbyterian Medical Services

Presbyterian Medical Services was paid $352K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
SANTA FE, NM 87505
33aNPI1003984089assigned 11/30/2006
28Total paid$352K
24GClaims2,049
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Student Health Clinic/Center providers in New Mexico

Rank by total paid#1 of 13
Median peer was paid$43K
This provider vs. median8.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018580$95K
2019520$87K
2020383$66K
2021119$21K
2022218$39K
2023135$24K
2024incomplete94$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69% 1,422 1,288 $244K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 11% 233 122 $38K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.0% 120 114 $21K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 4.8% 95 49 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.5% 88 85 $16K
99441 3.2% 65 64 $11K
99384 1.3% 26 26 $4K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
Same official

Other billing entities under SMITH, DOUG

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.