Medicaid Provider Spending

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

PRESBYTERIAN HEALTHCARE SERVICES

NPI: 1245216688 · ALBUQUERQUE, NM 87110 · Emergency Medicine Physician · NPI assigned 12/19/2005

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code Q5001 with only 2 total codes billed. Highly concentrated billing profile.

$1.06M
Total Medicaid Paid
8,521
Total Claims
439
Beneficiaries
2
Codes Billed
2019-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMAXWELL, DALE (VP FINANCE/CFO DELIVERY SYSTEM)
NPI Enumeration Date12/19/2005

Related Entities

Other providers sharing the same authorized official: MAXWELL, DALE

ProviderCityStateTotal Paid
PRESBYTERIAN HEALTHCARE SERVICES TUCUMCARI NM $8.49M
PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM $3.30M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 442 $48K
2021 1,859 $194K
2022 733 $76K
2023 3,437 $482K
2024 2,050 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q5001 Hospice or home health care provided in patient's home/residence 8,453 425 $1.06M
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 68 14 $0.00