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

Presbyterian Medical Services

Presbyterian Medical Services was paid $1.10M by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
HOBBS, NM 88240
33aNPI1093908246assigned 08/21/2007
28Total paid$1.10M
24GClaims12,327
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Mexico

Rank by total paid#42 of 80
Median peer was paid$1.11M
This provider vs. median1.0×

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$10K$20K2018201920202021202220232024
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
20182,224$174K
20192,209$175K
20201,682$183K
20211,433$118K
20221,717$151K
20232,031$186K
2024incomplete1,031$116K
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 60% 6,053 4,909 $666K
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 15% 1,397 1,221 $164K
99441 8.2% 541 436 $91K
99442 6.1% 416 363 $67K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4.9% 2,391 1,776 $54K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2.1% 509 338 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.3% 91 91 $14K
82962 1.1% 208 201 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 83 79 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 298 284 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 30 27 $32.75
36416 0% 298 276 $0.00
1 more codes
36415 Collection of venous blood by venipuncture 0% 12 $0.00

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.