Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $2.75M by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 28% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1225140783assigned 08/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.75M
24GClaims16,868
24DCodes billed15
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#27 of 80
Median peer was paid$1.11M
This provider vs. median2.5×
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 | 1,536 | $237K | |
| 2019 | 711 | $103K | |
| 2020 | 2,569 | $405K | |
| 2021 | 2,549 | $434K | |
| 2022 | 3,041 | $514K | |
| 2023 | 3,400 | $536K | |
| 2024incomplete | 3,062 | $519K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 28% | 4,438 | 2,115 | $774K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 24% | 3,742 | 2,624 | $659K |
| 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 | 16% | 2,742 | 2,603 | $441K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 1,788 | 1,273 | $316K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.3% | 1,144 | 884 | $200K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.1% | 792 | 768 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 476 | 453 | $73K |
| Q3014 | Telehealth originating site facility fee | 1.4% | 1,008 | 741 | $39K |
| H2010 | Comprehensive medication services, per 15 minutes | 1.3% | 226 | 216 | $35K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 130 | 122 | $21K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 124 | 52 | $21K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 115 | 28 | $19K |
3 more codes
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 | 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 | 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.