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

Presbyterian Healthcare Services

Presbyterian Healthcare Services was paid $212K by Medicaid between Jan 2018 and Mar 2020, across 2 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 94% of everything it billed.

33Billing provider infoPRESBYTERIAN HEALTHCARE SERVICES
ESPANOLA, NM 87532
33aNPI1215912191assigned 12/13/2005
28Total paid$212K
24GClaims1,999
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Emergency Medicine Physician providers in New Mexico

Rank by total paid#24 of 39
Median peer was paid$669K
This provider vs. median0.3×

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$10K$20K2018201920202021202220232024
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
20181,312$137K
2019596$66K
202091$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 94% 1,897 553 $200K
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 5.5% 102 99 $12K

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 officialHOLDERMAN, CLAY (VP REGIONAL OPERATIONS)
Same official

Other billing entities under HOLDERMAN, CLAY

Full network →
ProviderLocationPaid
Presbyterian Healthcare ServicesAlbuquerque, NM$240.24M

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