Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $41.17M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 19% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
FARMINGTON, NM 87401
FARMINGTON, NM 87401
33aNPI1285646455assigned 08/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$41.17M
24GClaims298,485
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#1 of 80
Median peer was paid$1.11M
This provider vs. median37×
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 | 47,056 | $5.21M | |
| 2019 | 39,120 | $4.39M | |
| 2020 | 41,524 | $5.76M | |
| 2021 | 47,084 | $6.99M | |
| 2022 | 48,799 | $7.19M | |
| 2023 | 43,479 | $6.55M | |
| 2024incomplete | 31,423 | $5.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 19% | 45,586 | 8,777 | $7.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 50,774 | 44,413 | $7.43M |
| 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 | 15% | 40,933 | 36,484 | $6.02M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 11% | 26,392 | 11,143 | $4.51M |
| D0999 | Unspecified diagnostic procedure, by report | 6.7% | 14,083 | 12,129 | $2.76M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.9% | 13,879 | 1,867 | $2.44M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.1% | 11,880 | 8,118 | $2.08M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 9,160 | 6,066 | $1.56M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 7,635 | 5,444 | $1.32M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.9% | 4,627 | 4,508 | $787K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 4,312 | 4,091 | $687K |
| 99442 | <1% | 2,499 | 2,334 | $409K |
86 more codes
| 99441 | <1% | 2,501 | $398K | |
| G0467 | Community health center visit, returning patient | <1% | 12,972 | $376K |
| Q3014 | Telehealth originating site facility fee | <1% | 5,037 | $323K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,974 | $310K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,446 | $238K |
| 99443 | <1% | 1,152 | $192K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 954 | $154K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 929 | $145K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 839 | $127K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 665 | $104K |
| 0011A | <1% | 591 | $94K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 455 | $76K |
| 0012A | <1% | 446 | $73K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,054 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 349 | $59K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,063 | $53K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 315 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 384 | $50K |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | <1% | 270 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,033 | $35K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 877 | $28K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,524 | $25K |
| 91300 | <1% | 180 | $24K | |
| 0001A | <1% | 231 | $23K | |
| D9995 | <1% | 190 | $17K | |
| 0072A | <1% | 105 | $14K | |
| 0071A | <1% | 114 | $14K | |
| 90686 | <1% | 2,775 | $12K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 221 | $11K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 121 | $11K |
| 0013A | <1% | 76 | $10K | |
| 91307 | <1% | 56 | $10K | |
| 87428 | <1% | 621 | $9K | |
| 91301 | <1% | 132 | $7K | |
| 0002A | <1% | 100 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,413 | $5K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 3,278 | $5K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 576 | $5K |
| D0190 | <1% | 100 | $4K | |
| 81002 | <1% | 899 | $4K | |
| 0031A | <1% | 29 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,569 | $3K |
| 90734 | <1% | 489 | $3K | |
| 90715 | <1% | 1,038 | $3K | |
| 90651 | <1% | 653 | $2K | |
| 99201 | <1% | 12 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 287 | $1K |
| 90677 | <1% | 14 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 257 | $1K |
| 88142 | <1% | 169 | $843.70 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 329 | $840.40 |
| 90461 | <1% | 1,130 | $558.54 | |
| 90633 | <1% | 57 | $538.86 | |
| 36416 | <1% | 3,265 | $522.37 | |
| 92250 | <1% | 225 | $424.82 | |
| 81025 | <1% | 112 | $356.76 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 71 | $183.39 |
| 90696 | <1% | 23 | $179.62 | |
| 90670 | <1% | 55 | $177.14 | |
| G0008 | Administration of influenza virus vaccine | <1% | 198 | $99.34 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 96 | $28.68 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 81 | $9.27 |
| 90688 | <1% | 454 | $5.72 | |
| 90732 | <1% | 111 | $5.18 | |
| 82570 | 0% | 59 | $0.00 | |
| 90710 | 0% | 25 | $0.00 | |
| J1631 | Injection, haloperidol decanoate, per 50 mg | 0% | 31 | $0.00 |
| 84439 | 0% | 42 | $0.00 | |
| 80061 | Lipid panel | 0% | 250 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 69 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 218 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 299 | $0.00 |
| 81001 | 0% | 31 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 331 | $0.00 |
| 82043 | 0% | 58 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 37 | $0.00 |
| 85027 | 0% | 67 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 41 | $0.00 |
| 82728 | 0% | 12 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 218 | $0.00 |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 0% | 30 | $0.00 |
| 91305 | 0% | 16 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 13 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 112 | $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 officialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| 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 | 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.