Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1295849933 · CARLSBAD, NM 88220 · Federally Qualified Health Center (FQHC) · NPI assigned 08/19/2006

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

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

$9.16M
Total Medicaid Paid
93,425
Total Claims
74,841
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date08/19/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,227 $1.25M
2019 11,724 $977K
2020 12,954 $1.48M
2021 13,878 $1.56M
2022 11,817 $1.25M
2023 16,723 $1.47M
2024 12,102 $1.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,524 17,420 $2.68M
H2015 Comprehensive community support services, per 15 minutes 12,715 4,477 $2.22M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,143 12,490 $1.90M
90834 Psychotherapy, 45 minutes with patient 2,881 1,886 $520K
90791 Psychiatric diagnostic evaluation 1,879 1,869 $325K
Q3014 Telehealth originating site facility fee 8,277 6,558 $227K
90832 Psychotherapy, 30 minutes with patient 1,154 838 $207K
99441 1,085 982 $184K
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 7,371 5,291 $162K
H2017 Psychosocial rehabilitation services, per 15 minutes 833 192 $143K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 655 648 $106K
90837 Psychotherapy, 53 minutes with patient 607 442 $104K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 658 627 $100K
90792 Psychiatric diagnostic evaluation with medical services 275 271 $49K
99442 232 218 $37K
99215 Prolong outpt/office vis 296 273 $25K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 664 548 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 159 157 $23K
0011A 154 154 $22K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 112 110 $18K
0012A 139 135 $16K
36415 Collection of venous blood by venipuncture 2,660 2,614 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 79 $13K
91301 78 78 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,615 1,610 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 33 32 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 119 86 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 14 $2K
99383 15 15 $2K
83036 Hemoglobin; glycosylated (A1C) 2,509 2,474 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 662 661 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 519 513 $1K
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 548 523 $608.74
80053 Comprehensive metabolic panel 1,787 1,780 $607.36
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 502 496 $605.34
84443 Thyroid stimulating hormone (TSH) 1,480 1,465 $596.36
81002 377 368 $368.29
84481 14 14 $366.78
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,154 1,061 $322.57
86780 229 228 $201.78
92250 27 27 $201.78
84439 132 132 $201.78
G0008 Administration of influenza virus vaccine 146 144 $51.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 16 $42.08
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 128 126 $28.17
90686 413 409 $21.95
90715 44 44 $18.21
87428 127 125 $18.05
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $10.27
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 73 72 $9.48
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 518 496 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 150 145 $0.00
36416 860 852 $0.00
90688 178 174 $0.00
86803 82 82 $0.00
82043 221 219 $0.00
82607 176 176 $0.00
85027 15 15 $0.00
87340 66 66 $0.00
86695 16 16 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $0.00
80061 Lipid panel 1,221 1,217 $0.00
82570 232 219 $0.00
86703 242 241 $0.00
80074 16 16 $0.00
90461 67 67 $0.00
90710 12 12 $0.00