Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRESBYTERIAN MEDICAL SERVICES

NPI: 1124134028 · SANTA FE, NM 87505 · Federally Qualified Health Center (FQHC) · NPI assigned 08/22/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more

$13.33M
Total Medicaid Paid
96,965
Total Claims
57,820
Beneficiaries
40
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date08/22/2006

Related Entities

Other providers sharing the same authorized official: SMITH, DOUG

ProviderCityStateTotal Paid
PRESBYTERIAN MEDICAL SERVICES FARMINGTON NM $41.17M
PRESBYTERIAN MEDICAL SERVICES SANTA FE NM $16.45M
PRESBYTERIAN MEDICAL SERVICES GRANTS NM $10.25M
PRESBYTERIAN MEDICAL SERVICES CARLSBAD NM $9.16M
PRESBYTERIAN MEDICAL SERVICES SOCORRO NM $8.23M
PRESBYTERIAN MEDICAL SERVICES ESPANOLA NM $7.64M
PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES FARMINGTON NM $6.89M
PRESBYTERIAN MEDICAL SERVICES RIO RANCHO NM $5.57M
PRESBYTERIAN MEDICAL SERVICES CUBA NM $4.02M
PRESBYTERIAN MEDICAL SERVICES GALLUP NM $2.75M
PRESBYTERIAN MEDICAL SERVICES QUESTA NM $2.53M
PRESBYTERIAN MEDICAL SERVICES SANTA FE NM $2.04M
PRESBYTERIAN MEDICAL SERVICES FARMINGTON NM $1.61M
PRESBYTERIAN MEDICAL SERVICES TUCUMCARI NM $1.43M
PRESBYTERIAN MEDICAL SERVICES MOUNTAINAIR NM $1.19M
PRESBYTERIAN MEDICAL SERVICES HOBBS NM $1.10M
PRESBYTERIAN MEDICAL SERVICES TORREON NM $1.05M
PRESBYTERIAN MEDICAL SERVICES TULAROSA NM $999K
PRESBYTERIAN MEDICAL SERVICES RESERVE NM $844K
PRESBYTERIAN MEDICAL SERVICES THOREAU NM $675K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,405 $3.37M
2019 15,729 $1.83M
2020 11,676 $1.58M
2021 14,072 $2.15M
2022 17,740 $2.73M
2023 11,343 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,053 12,112 $2.33M
H0039 Assertive community treatment, face-to-face, per 15 minutes 11,250 1,851 $1.95M
H2015 Comprehensive community support services, per 15 minutes 9,830 2,930 $1.73M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,528 10,596 $1.65M
90853 Group psychotherapy (other than of a multiple-family group) 7,611 3,641 $1.27M
90834 Psychotherapy, 45 minutes with patient 6,744 3,880 $1.13M
90837 Psychotherapy, 53 minutes with patient 6,293 3,337 $1.04M
99442 2,169 1,684 $366K
90832 Psychotherapy, 30 minutes with patient 2,063 1,392 $351K
90791 Psychiatric diagnostic evaluation 1,861 1,839 $312K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,877 1,443 $229K
99441 1,223 991 $205K
H2017 Psychosocial rehabilitation services, per 15 minutes 863 227 $144K
G0467 Federally 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 5,512 3,685 $122K
Q3014 Telehealth originating site facility fee 1,946 1,231 $111K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,398 2,065 $111K
99443 379 345 $62K
99215 Prolong outpt/office vis 421 353 $58K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,526 1,109 $53K
90792 Psychiatric diagnostic evaluation with medical services 171 158 $24K
H2011 Crisis intervention service, per 15 minutes 142 120 $23K
0011A 92 89 $15K
0012A 61 60 $10K
H2033 Multisystemic therapy for juveniles, per 15 minutes 49 13 $8K
36415 Collection of venous blood by venipuncture 583 563 $5K
0013A 34 32 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 153 124 $4K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 1,506 1,340 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 13 $2K
0144A 18 15 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 70 $2K
83036 Hemoglobin; glycosylated (A1C) 114 112 $1K
80305 34 31 $862.00
84443 Thyroid stimulating hormone (TSH) 70 70 $683.31
90688 46 46 $504.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count 44 44 $366.78
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 34 31 $0.00
80306 34 31 $0.00
80061 Lipid panel 27 27 $0.00
80053 Comprehensive metabolic panel 120 120 $0.00