Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRESBYTERIAN MEDICAL SERVICES

NPI: 1225117773 · MOUNTAINAIR, NM 87036 · Non-Pharmacy Dispensing Site · NPI assigned 11/03/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more

$1.19M
Total Medicaid Paid
9,230
Total Claims
7,764
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date11/03/2006

Related Entities

Other providers sharing the same authorized official: SMITH, DOUG

ProviderCityStateTotal 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 GRANTS NM $10.25M
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,163 $219K
2019 1,671 $183K
2020 902 $129K
2021 1,069 $158K
2022 1,232 $175K
2023 1,189 $168K
2024 1,004 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,461 3,115 $518K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,548 2,299 $363K
H2015 Comprehensive community support services, per 15 minutes 656 241 $115K
90834 Psychotherapy, 45 minutes with patient 379 224 $68K
99441 209 201 $33K
99442 177 167 $29K
Q3014 Telehealth originating site facility fee 323 179 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 61 60 $10K
G0467 Federally 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 343 240 $9K
90837 Psychotherapy, 53 minutes with patient 30 17 $4K
0012A 25 25 $4K
0011A 25 25 $3K
99443 13 13 $2K
0013A 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 142 142 $164.34
36415 Collection of venous blood by venipuncture 499 480 $40.75
90461 13 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $0.00
90651 13 13 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 70 68 $0.00
80053 Comprehensive metabolic panel 73 72 $0.00
90688 29 29 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $0.00
90686 85 85 $0.00