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

Presbyterian Healthcare Services

Presbyterian Healthcare Services was paid $1.06M by Medicaid between Apr 2019 and Jul 2024, across 2 billing codes. Its largest line is Q5001, Hospice or home health care provided in patient's home/residence — 100% of everything it billed.

33Billing provider infoPRESBYTERIAN HEALTHCARE SERVICES
ALBUQUERQUE, NM 87110
33aNPI1245216688assigned 12/19/2005
28Total paid$1.06M
24GClaims8,521
24DCodes billed2
24AFirst – last monthApr 2019 – Jul 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New Mexico

Rank by total paid#17 of 39
Median peer was paid$669K
This provider vs. median1.6×

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.

Single-Code Concentration100% of spending on code Q5001 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
2019442$48K
20211,859$194K
2022733$76K
20233,437$482K
2024incomplete2,050$258K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q5001 Hospice or home health care provided in patient's home/residence 100% 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 0% 68 14 $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 officialMAXWELL, DALE (VP FINANCE/CFO DELIVERY SYSTEM)
Same official

Other billing entities under MAXWELL, DALE

Full network →
ProviderLocationPaid
Presbyterian Healthcare ServicesTucumcari, NM$8.49M
Presbyterian Healthcare ServicesAlbuquerque, NM$3.30M

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