Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $2.84M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
CHAPARRAL, NM 88081
CHAPARRAL, NM 88081
33aNPI1174845143assigned 02/18/2010
33bProvider typeClinic/Center
28Total paid$2.84M
24GClaims24,546
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New Mexico
Rank by total paid#12 of 52
Median peer was paid$827K
This provider vs. median3.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,987 | $332K | |
| 2019 | 3,631 | $371K | |
| 2020 | 2,488 | $306K | |
| 2021 | 3,590 | $467K | |
| 2022 | 3,759 | $436K | |
| 2023 | 4,930 | $536K | |
| 2024incomplete | 3,161 | $395K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 8,892 | 7,659 | $1.42M |
| 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 | 29% | 5,414 | 4,580 | $826K |
| 99441 | 4.9% | 809 | 759 | $139K | |
| 99442 | 4.2% | 696 | 653 | $119K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 609 | 581 | $105K |
| 0011A | 1.4% | 236 | 234 | $38K | |
| 0012A | 1.2% | 216 | 215 | $35K | |
| 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 | 1.2% | 858 | 613 | $35K |
| 99443 | 1.1% | 195 | 170 | $32K | |
| 0013A | <1% | 111 | 103 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | 87 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 72 | 71 | $12K |
32 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 726 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 626 | $7K |
| 0071A | <1% | 36 | $6K | |
| 0072A | <1% | 32 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $5K |
| 91301 | <1% | 19 | $3K | |
| 0031A | <1% | 21 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 32 | $2K |
| 0144A | <1% | 16 | $2K | |
| 87428 | <1% | 158 | $2K | |
| 81025 | <1% | 116 | $1K | |
| 0064A | <1% | 13 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 693 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 675 | $938.95 |
| 81002 | <1% | 91 | $919.70 | |
| Q3014 | Telehealth originating site facility fee | <1% | 168 | $859.74 |
| 80061 | Lipid panel | <1% | 526 | $776.67 |
| 80053 | Comprehensive metabolic panel | <1% | 902 | $760.79 |
| 36415 | Collection of venous blood by venipuncture | <1% | 686 | $711.05 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $173.84 |
| 90688 | <1% | 506 | $107.17 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 17 | $0.00 |
| 82570 | 0% | 42 | $0.00 | |
| 86703 | 0% | 29 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 12 | $0.00 |
| 90658 | 0% | 13 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| 82043 | 0% | 39 | $0.00 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 28 | $0.00 |
| 90686 | 0% | 23 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 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 officialLEE, ROBERTA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Presbyterian Medical Services | Rio Rancho, NM | $9.93M |
| Presbyterian Medical Services | Deming, NM | $4.76M |
| Presbyterian Medical Services | Estancia, NM | $2.31M |
| Presbyterian Medical Services | Gallup, NM | $1.88M |
| Presbyterian Medical Services | Magdalena, NM | $813K |
| Presbyterian Medical Services | Loving, NM | $796K |
| Presbyterian Medical Services | Cerrillos, NM | $275K |
| Attenda Medical Group INC | Santa Rosa, CA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.