Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ESPANOLA › PRESBYTERIAN HEALTHCARE SERVICES

PRESBYTERIAN HEALTHCARE SERVICES

NPI: 1154307593 · ESPANOLA, NM 87532 · Emergency Medicine Physician · NPI assigned 12/19/2005

$40.92M
Total Medicaid Paid
649,271
Total Claims
580,994
Beneficiaries
254
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, ROBERT (VP REGIONAL OPERATIONS)
NPI Enumeration Date12/19/2005

Related Entities

Other providers sharing the same authorized official: GARCIA, ROBERT

ProviderCityStateTotal Paid
PRESBYTERIAN HEALTHCARE SERVICES CARRIZOZO NM $1.11M
RESTORATION MEDICAL EQUIPMENT & SUPPLY CO. LLC LAREDO TX $562K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116,292 $6.22M
2019 89,274 $5.25M
2020 50,500 $3.52M
2021 67,973 $4.12M
2022 102,666 $6.00M
2023 125,380 $8.37M
2024 97,186 $7.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 47,926 45,906 $7.79M
99283 Emergency department visit for the evaluation and management, moderate severity 54,811 51,202 $7.33M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 25,529 24,293 $5.78M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12,219 11,750 $1.65M
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 5,242 4,530 $1.36M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,766 3,643 $1.30M
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 4,415 3,941 $1.06M
70450 Computed tomography, head or brain; without contrast material 4,571 4,329 $775K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,900 6,578 $661K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,337 9,771 $626K
87631 4,423 4,304 $623K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13,193 11,076 $597K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,849 4,372 $595K
80053 Comprehensive metabolic panel 31,802 29,203 $418K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,714 2,613 $415K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,232 7,479 $413K
96375 Therapeutic injection; each additional sequential IV push 7,179 6,355 $384K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,456 2,936 $378K
71046 Radiologic examination, chest; 2 views 6,826 6,564 $376K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,959 8,343 $363K
G0378 Hospital observation service, per hour 774 711 $350K
73562 3,873 3,411 $341K
A0425 Ground mileage, per statute mile 5,198 4,078 $325K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 3,026 2,532 $294K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,938 29,765 $269K
71045 Radiologic examination, chest; single view 4,700 4,351 $241K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,754 7,524 $218K
74176 Computed tomography, abdomen and pelvis; without contrast material 955 929 $202K
71275 Computed tomographic angiography, chest, with contrast material 589 575 $195K
73610 1,805 1,665 $174K
72125 Computed tomography, cervical spine; without contrast material 814 802 $168K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,470 4,374 $167K
96361 Intravenous infusion, hydration; each additional hour 4,357 4,057 $161K
73030 2,129 1,939 $161K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,465 4,372 $160K
84443 Thyroid stimulating hormone (TSH) 7,767 7,613 $124K
81513 938 915 $123K
73630 1,967 1,793 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,594 6,419 $119K
73110 1,587 1,370 $116K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 752 698 $105K
84484 6,646 5,439 $91K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,494 1,622 $90K
77067 Screening mammography, bilateral, including computer-aided detection 610 609 $90K
73130 1,238 1,100 $89K
87086 Culture, bacterial; quantitative colony count, urine 9,396 8,820 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 254 248 $84K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,056 3,024 $80K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,761 1,694 $78K
81025 6,676 6,340 $76K
36415 Collection of venous blood by venipuncture 19,826 18,546 $73K
96376 2,383 1,731 $72K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,977 5,690 $71K
83690 8,597 7,978 $71K
81001 12,867 12,094 $67K
83036 Hemoglobin; glycosylated (A1C) 7,605 7,519 $63K
76705 Ultrasound, abdominal, real time with image documentation; limited 656 643 $63K
72100 779 769 $62K
A0998 Ambulance response and treatment, no transport 829 810 $62K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 677 665 $61K
97161 1,707 1,664 $61K
94726 666 653 $60K
80048 Basic metabolic panel (calcium, ionized) 5,268 4,616 $60K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 818 795 $58K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 814 602 $56K
99281 Emergency department visit for the evaluation and management, self-limited or minor 822 790 $55K
82962 7,051 5,605 $51K
94060 446 437 $50K
87081 5,854 5,699 $50K
87650 2,133 2,098 $49K
83735 6,803 6,246 $48K
94664 705 691 $44K
73502 946 908 $42K
84439 4,600 4,535 $40K
76830 Ultrasound, transvaginal 447 444 $39K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 139 137 $39K
95811 67 66 $39K
87040 2,810 1,923 $38K
83605 4,348 3,795 $36K
10060 435 410 $36K
83880 1,757 1,655 $35K
94375 350 341 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,360 1,348 $34K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 959 937 $33K
88305 Level IV - Surgical pathology, gross and microscopic examination 873 849 $33K
85027 5,123 4,764 $33K
J3490 Unclassified drugs 19,541 8,306 $33K
94729 684 673 $32K
82077 2,650 2,409 $30K
87481 936 914 $29K
85379 1,612 1,580 $28K
81514 116 115 $28K
84702 1,523 1,245 $28K
87077 3,087 2,930 $28K
84703 2,114 2,032 $27K
87186 2,241 2,148 $27K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 304 303 $26K
86780 1,905 1,885 $26K
71250 225 222 $26K
71260 Computed tomography, thorax, diagnostic; with contrast material 79 78 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,104 1,074 $24K
80061 Lipid panel 1,976 1,960 $24K
73080 352 310 $24K
81003 5,524 5,297 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters 41 40 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete 233 233 $22K
85610 5,128 4,621 $22K
86850 2,142 2,055 $21K
82728 1,495 1,486 $21K
59025 Fetal non-stress test 144 123 $20K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 720 714 $19K
71101 233 231 $19K
93971 269 259 $18K
82805 348 312 $18K
86803 1,227 1,221 $17K
73120 163 133 $16K
93976 144 135 $15K
90715 988 972 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,674 1,270 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 979 947 $13K
87660 587 570 $13K
87480 573 557 $13K
87510 572 556 $13K
97162 324 318 $13K
86900 2,302 2,193 $12K
82075 387 346 $12K
96367 218 187 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 31 30 $12K
87653 289 288 $11K
73090 159 144 $11K
74019 114 108 $10K
86901 2,300 2,192 $10K
77063 Screening digital breast tomosynthesis, bilateral 331 331 $10K
76801 114 105 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27 27 $10K
73140 163 149 $10K
94618 133 129 $10K
29125 89 89 $9K
82607 682 675 $9K
Q3014 Telehealth originating site facility fee 263 250 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 151 131 $9K
86140 2,176 2,067 $8K
20610 117 99 $8K
83550 930 919 $8K
87430 483 479 $8K
82140 555 512 $8K
82570 1,639 1,601 $8K
12001 83 83 $8K
J7120 Ringers lactate infusion, up to 1000 cc 3,818 3,375 $8K
36000 1,198 1,167 $8K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 38 37 $7K
73590 125 111 $7K
80305 525 422 $7K
82043 1,286 1,278 $7K
83540 994 982 $7K
80076 612 595 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,949 3,150 $6K
82746 472 468 $6K
85652 1,307 1,253 $6K
J2704 Injection, propofol, 10 mg 1,608 1,182 $6K
87340 535 531 $6K
12002 70 66 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,954 4,503 $5K
83655 367 366 $5K
72040 74 73 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $5K
97750 175 171 $5K
87807 320 308 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 32 32 $5K
86762 338 337 $5K
72110 66 66 $5K
J2560 Injection, phenobarbital sodium, up to 120 mg 209 149 $5K
70498 12 12 $4K
70486 28 27 $4K
87070 319 300 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 43 42 $4K
51702 53 50 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,320 3,844 $3K
70496 12 12 $3K
80143 223 203 $3K
J2270 Injection, morphine sulfate, up to 10 mg 2,221 1,658 $3K
J3475 Injection, magnesium sulfate, per 500 mg 766 716 $3K
74018 57 50 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 117 117 $3K
94760 429 297 $3K
80179 192 175 $3K
99239 Hospital discharge day management, more than 30 minutes 27 27 $3K
80074 52 49 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 2,224 1,955 $3K
82550 329 293 $2K
85014 834 815 $2K
85018 800 781 $2K
85730 358 346 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,474 1,425 $2K
76770 30 27 $2K
87205 320 300 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 16 16 $2K
73522 12 12 $1K
J0690 Injection, cefazolin sodium, 500 mg 329 280 $1K
93970 13 13 $1K
87210 184 181 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,028 935 $1K
J3370 Injection, vancomycin hcl, 500 mg 81 58 $986.97
73560 16 12 $953.73
36416 539 522 $925.62
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 551 496 $907.16
83525 72 71 $896.86
J2060 Injection, lorazepam, 2 mg 599 512 $865.78
86038 70 68 $773.98
J1200 Injection, diphenhydramine hcl, up to 50 mg 747 700 $674.61
J1790 Injection, droperidol, up to 5 mg 216 200 $648.13
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 21 14 $643.12
84481 27 27 $533.98
73552 14 14 $529.26
81002 148 142 $521.90
86787 38 38 $497.01
87075 38 38 $476.07
J2360 Injection, orphenadrine citrate, up to 60 mg 56 55 $455.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 815 684 $446.21
87581 12 12 $435.48
87486 12 12 $435.48
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 236 236 $434.28
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 76 74 $432.44
94761 27 26 $428.32
82010 55 50 $377.37
82950 68 66 $342.37
97530 Therapeutic activities, direct patient contact, each 15 minutes 16 12 $314.58
J2003 Injection, lidocaine hydrochloride, 1 mg 51 49 $312.47
82248 60 42 $287.59
J3360 Injection, diazepam, up to 5 mg 32 32 $269.18
86431 41 41 $246.90
J1650 Injection, enoxaparin sodium, 10 mg 128 83 $219.37
82247 42 26 $203.40
90670 58 58 $198.43
A9577 Injection, gadobenate dimeglumine (multihance), per ml 12 12 $174.00
G0008 Administration of influenza virus vaccine 115 115 $145.51
J2550 Injection, promethazine hcl, up to 50 mg 193 167 $143.46
90686 24 24 $126.82
J3411 Injection, thiamine hcl, 100 mg 35 30 $125.26
S0028 Injection, famotidine, 20 mg 65 58 $119.39
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 13 $95.79
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 188 175 $89.48
J7060 5% dextrose/water (500 ml = 1 unit) 31 24 $67.17
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 51 39 $39.97
J0780 Injection, prochlorperazine, up to 10 mg 16 15 $31.86
J1630 Injection, haloperidol, up to 5 mg 13 13 $28.18
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 13 $21.64
J3480 Injection, potassium chloride, per 2 meq 16 12 $18.04
J1815 Injection, insulin, per 5 units 56 25 $17.65
J2795 Injection, ropivacaine hydrochloride, 1 mg 15 12 $15.00
Q2039 Influenza virus vaccine, not otherwise specified 67 67 $14.39
J1596 Injection, glycopyrrolate, 0.1 mg 15 12 $2.72
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 139 127 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 199 181 $0.00