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

Presbyterian Healthcare Services

Presbyterian Healthcare Services was paid $40.92M by Medicaid between Jan 2018 and Dec 2024, across 254 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.

33Billing provider infoPRESBYTERIAN HEALTHCARE SERVICES
ESPANOLA, NM 87532
33aNPI1154307593assigned 12/19/2005
33bProvider typeEmergency Medicine Physician
28Total paid$40.92M
24GClaims649,271
24DCodes billed254
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New Mexico

Rank by total paid#5 of 39
Median peer was paid$669K
This provider vs. median61×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2018116,292$6.22M
201989,274$5.25M
202050,500$3.52M
202167,973$4.12M
2022102,666$6.00M
2023125,380$8.37M
2024incomplete97,186$7.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 47,926 45,906 $7.79M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 54,811 51,202 $7.33M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 25,529 24,293 $5.78M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4.0% 12,219 11,750 $1.65M
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 3.3% 5,242 4,530 $1.36M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 3,766 3,643 $1.30M
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2.6% 4,415 3,941 $1.06M
70450 Computed tomography, head or brain; without contrast material 1.9% 4,571 4,329 $775K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.6% 6,900 6,578 $661K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.5% 11,337 9,771 $626K
87631 1.5% 4,423 4,304 $623K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.5% 13,193 11,076 $597K
242 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 12,849 $595K
80053 Comprehensive metabolic panel 1.0% 31,802 $418K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.0% 2,714 $415K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 8,232 $413K
96375 Therapeutic injection; each additional sequential IV push <1% 7,179 $384K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,456 $378K
71046 Radiologic examination, chest; 2 views <1% 6,826 $376K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 8,959 $363K
G0378 Hospital observation service, per hour <1% 774 $350K
73562 <1% 3,873 $341K
A0425 Ground mileage, per statute mile <1% 5,198 $325K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,026 $294K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 32,938 $269K
71045 Radiologic examination, chest; single view <1% 4,700 $241K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,754 $218K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 955 $202K
71275 Computed tomographic angiography, chest, with contrast material <1% 589 $195K
73610 <1% 1,805 $174K
72125 Computed tomography, cervical spine; without contrast material <1% 814 $168K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,470 $167K
96361 Intravenous infusion, hydration; each additional hour <1% 4,357 $161K
73030 <1% 2,129 $161K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,465 $160K
84443 Thyroid stimulating hormone (TSH) <1% 7,767 $124K
81513 <1% 938 $123K
73630 <1% 1,967 $120K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 6,594 $119K
73110 <1% 1,587 $116K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 752 $105K
84484 <1% 6,646 $91K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,494 $90K
77067 Screening mammography, bilateral, including computer-aided detection <1% 610 $90K
73130 <1% 1,238 $89K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,396 $85K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 254 $84K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,056 $80K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,761 $78K
81025 <1% 6,676 $76K
36415 Collection of venous blood by venipuncture <1% 19,826 $73K
96376 <1% 2,383 $72K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 5,977 $71K
83690 <1% 8,597 $71K
81001 <1% 12,867 $67K
83036 Hemoglobin; glycosylated (A1C) <1% 7,605 $63K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 656 $63K
72100 <1% 779 $62K
A0998 Ambulance response and treatment, no transport <1% 829 $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 <1% 677 $61K
97161 <1% 1,707 $61K
94726 <1% 666 $60K
80048 Basic metabolic panel (calcium, ionized) <1% 5,268 $60K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 818 $58K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 814 $56K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 822 $55K
82962 <1% 7,051 $51K
94060 <1% 446 $50K
87081 <1% 5,854 $50K
87650 <1% 2,133 $49K
83735 <1% 6,803 $48K
94664 <1% 705 $44K
73502 <1% 946 $42K
84439 <1% 4,600 $40K
76830 Ultrasound, transvaginal <1% 447 $39K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 139 $39K
95811 <1% 67 $39K
87040 <1% 2,810 $38K
83605 <1% 4,348 $36K
10060 <1% 435 $36K
83880 <1% 1,757 $35K
94375 <1% 350 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,360 $34K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 959 $33K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 873 $33K
85027 <1% 5,123 $33K
J3490 Unclassified drugs <1% 19,541 $33K
94729 <1% 684 $32K
82077 <1% 2,650 $30K
87481 <1% 936 $29K
85379 <1% 1,612 $28K
81514 <1% 116 $28K
84702 <1% 1,523 $28K
87077 <1% 3,087 $28K
84703 <1% 2,114 $27K
87186 <1% 2,241 $27K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 304 $26K
86780 <1% 1,905 $26K
71250 <1% 225 $26K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 79 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,104 $24K
80061 Lipid panel <1% 1,976 $24K
73080 <1% 352 $24K
81003 <1% 5,524 $23K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 41 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 233 $22K
85610 <1% 5,128 $22K
86850 <1% 2,142 $21K
82728 <1% 1,495 $21K
59025 Fetal non-stress test <1% 144 $20K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 720 $19K
71101 <1% 233 $19K
93971 <1% 269 $18K
82805 <1% 348 $18K
86803 <1% 1,227 $17K
73120 <1% 163 $16K
93976 <1% 144 $15K
90715 <1% 988 $13K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,674 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 979 $13K
87660 <1% 587 $13K
87480 <1% 573 $13K
87510 <1% 572 $13K
97162 <1% 324 $13K
86900 <1% 2,302 $12K
82075 <1% 387 $12K
96367 <1% 218 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 31 $12K
87653 <1% 289 $11K
73090 <1% 159 $11K
74019 <1% 114 $10K
86901 <1% 2,300 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 331 $10K
76801 <1% 114 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 27 $10K
73140 <1% 163 $10K
94618 <1% 133 $10K
29125 <1% 89 $9K
82607 <1% 682 $9K
Q3014 Telehealth originating site facility fee <1% 263 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 151 $9K
86140 <1% 2,176 $8K
20610 <1% 117 $8K
83550 <1% 930 $8K
87430 <1% 483 $8K
82140 <1% 555 $8K
82570 <1% 1,639 $8K
12001 <1% 83 $8K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,818 $8K
36000 <1% 1,198 $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 <1% 38 $7K
73590 <1% 125 $7K
80305 <1% 525 $7K
82043 <1% 1,286 $7K
83540 <1% 994 $7K
80076 <1% 612 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 3,949 $6K
82746 <1% 472 $6K
85652 <1% 1,307 $6K
J2704 Injection, propofol, 10 mg <1% 1,608 $6K
87340 <1% 535 $6K
12002 <1% 70 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,954 $5K
83655 <1% 367 $5K
72040 <1% 74 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $5K
97750 <1% 175 $5K
87807 <1% 320 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 32 $5K
86762 <1% 338 $5K
72110 <1% 66 $5K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 209 $5K
70498 <1% 12 $4K
70486 <1% 28 $4K
87070 <1% 319 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 43 $4K
51702 <1% 53 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,320 $3K
70496 <1% 12 $3K
80143 <1% 223 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,221 $3K
J3475 Injection, magnesium sulfate, per 500 mg <1% 766 $3K
74018 <1% 57 $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 <1% 117 $3K
94760 <1% 429 $3K
80179 <1% 192 $3K
99239 Hospital discharge day management, more than 30 minutes <1% 27 $3K
80074 <1% 52 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,224 $3K
82550 <1% 329 $2K
85014 <1% 834 $2K
85018 <1% 800 $2K
85730 <1% 358 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,474 $2K
76770 <1% 30 $2K
87205 <1% 320 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 16 $2K
73522 <1% 12 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 329 $1K
93970 <1% 13 $1K
87210 <1% 184 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,028 $1K
J3370 Injection, vancomycin hcl, 500 mg <1% 81 $986.97
73560 <1% 16 $953.73
36416 <1% 539 $925.62
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 551 $907.16
83525 <1% 72 $896.86
J2060 Injection, lorazepam, 2 mg <1% 599 $865.78
86038 <1% 70 $773.98
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 747 $674.61
J1790 Injection, droperidol, up to 5 mg <1% 216 $648.13
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 21 $643.12
84481 <1% 27 $533.98
73552 <1% 14 $529.26
81002 <1% 148 $521.90
86787 <1% 38 $497.01
87075 <1% 38 $476.07
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 56 $455.10
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 815 $446.21
87581 <1% 12 $435.48
87486 <1% 12 $435.48
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 236 $434.28
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 76 $432.44
94761 <1% 27 $428.32
82010 <1% 55 $377.37
82950 <1% 68 $342.37
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 16 $314.58
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 51 $312.47
82248 <1% 60 $287.59
J3360 Injection, diazepam, up to 5 mg <1% 32 $269.18
86431 <1% 41 $246.90
J1650 Injection, enoxaparin sodium, 10 mg <1% 128 $219.37
82247 <1% 42 $203.40
90670 <1% 58 $198.43
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 12 $174.00
G0008 Administration of influenza virus vaccine <1% 115 $145.51
J2550 Injection, promethazine hcl, up to 50 mg <1% 193 $143.46
90686 <1% 24 $126.82
J3411 Injection, thiamine hcl, 100 mg <1% 35 $125.26
S0028 Injection, famotidine, 20 mg <1% 65 $119.39
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 16 $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 <1% 188 $89.48
J7060 5% dextrose/water (500 ml = 1 unit) <1% 31 $67.17
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 51 $39.97
J0780 Injection, prochlorperazine, up to 10 mg <1% 16 $31.86
J1630 Injection, haloperidol, up to 5 mg <1% 13 $28.18
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 15 $21.64
J3480 Injection, potassium chloride, per 2 meq <1% 16 $18.04
J1815 Injection, insulin, per 5 units <1% 56 $17.65
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 15 $15.00
Q2039 Influenza virus vaccine, not otherwise specified <1% 67 $14.39
J1596 Injection, glycopyrrolate, 0.1 mg <1% 15 $2.72
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 139 $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 0% 199 $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 officialGARCIA, ROBERT (VP REGIONAL OPERATIONS)
Same official

Other billing entities under GARCIA, ROBERT

Full network →
ProviderLocationPaid
Presbyterian Healthcare ServicesCarrizozo, NM$1.11M
Restoration Medical Equipment & Supply Co. LLCLaredo, TX$562K

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