Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $10.25M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1205902376assigned 11/28/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$10.25M
24GClaims93,780
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#1 of 19
Median peer was paid$1.05M
This provider vs. median9.8×
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
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 | 12,781 | $1.30M | |
| 2019 | 14,534 | $1.32M | |
| 2020 | 15,694 | $1.85M | |
| 2021 | 14,938 | $1.84M | |
| 2022 | 13,345 | $1.46M | |
| 2023 | 13,120 | $1.41M | |
| 2024incomplete | 9,368 | $1.07M |
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 | 31% | 22,018 | 18,641 | $3.20M |
| 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 | 19% | 14,568 | 12,690 | $1.96M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 14% | 8,206 | 2,848 | $1.42M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.0% | 4,131 | 2,613 | $716K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.3% | 3,189 | 2,093 | $545K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.6% | 2,726 | 1,927 | $473K |
| 99441 | 4.4% | 2,671 | 2,304 | $446K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 2,018 | 1,609 | $313K |
| 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 | 1.9% | 6,037 | 4,483 | $199K |
| 99442 | 1.2% | 751 | 673 | $125K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 630 | 625 | $108K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.0% | 621 | 260 | $105K |
68 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 606 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 409 | $71K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,547 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 349 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 257 | $42K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 222 | $33K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 528 | $32K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 140 | $21K |
| 0011A | <1% | 158 | $19K | |
| 91300 | <1% | 124 | $19K | |
| 99443 | <1% | 106 | $18K | |
| 0012A | <1% | 137 | $17K | |
| 91301 | <1% | 108 | $16K | |
| 99408 | <1% | 89 | $16K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 99 | $13K |
| 0071A | <1% | 94 | $13K | |
| 0072A | <1% | 81 | $11K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 69 | $11K |
| 0064A | <1% | 75 | $11K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 55 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 53 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $4K |
| 0144A | <1% | 24 | $4K | |
| 91307 | <1% | 27 | $4K | |
| 0013A | <1% | 21 | $3K | |
| 0001A | <1% | 80 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,785 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,431 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,111 | $1K |
| 0002A | <1% | 67 | $1K | |
| 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 | <1% | 363 | $938.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 738 | $737.61 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,249 | $666.64 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 431 | $470.96 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,389 | $403.56 |
| 81002 | <1% | 706 | $264.94 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 246 | $201.78 |
| 87428 | <1% | 603 | $150.89 | |
| 90688 | <1% | 335 | $146.71 | |
| 80053 | Comprehensive metabolic panel | <1% | 2,142 | $56.24 |
| G0008 | Administration of influenza virus vaccine | <1% | 51 | $53.78 |
| 90686 | <1% | 1,026 | $35.56 | |
| 90715 | <1% | 143 | $28.32 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 34 | $17.69 |
| 90670 | <1% | 99 | $14.54 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 102 | $9.59 |
| 86803 | 0% | 82 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 92 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 194 | $0.00 |
| 87522 | Neg quan hep c or qual rna | 0% | 12 | $0.00 |
| 90651 | 0% | 80 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 15 | $0.00 |
| 88142 | 0% | 48 | $0.00 | |
| 82607 | 0% | 24 | $0.00 | |
| 82043 | 0% | 58 | $0.00 | |
| 85027 | 0% | 41 | $0.00 | |
| 80061 | Lipid panel | 0% | 1,261 | $0.00 |
| 86703 | 0% | 233 | $0.00 | |
| 82274 | 0% | 57 | $0.00 | |
| 81025 | 0% | 50 | $0.00 | |
| 83540 | 0% | 12 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 187 | $0.00 |
| 82570 | 0% | 59 | $0.00 | |
| 90734 | 0% | 49 | $0.00 | |
| 90633 | 0% | 44 | $0.00 | |
| 90461 | 0% | 28 | $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)
| Provider | Location | Paid |
|---|---|---|
| Presbyterian Medical Services | Farmington, NM | $41.17M |
| Presbyterian Medical Services | Santa Fe, NM | $16.45M |
| Presbyterian Medical Services | Santa Fe, NM | $13.33M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.