Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $9.16M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
CARLSBAD, NM 88220
CARLSBAD, NM 88220
33aNPI1295849933assigned 08/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.16M
24GClaims93,425
24DCodes billed68
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#13 of 80
Median peer was paid$1.11M
This provider vs. median8.2×
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 | 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 | |
| 2024incomplete | 12,102 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 19,524 | 17,420 | $2.68M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 24% | 12,715 | 4,477 | $2.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 14,143 | 12,490 | $1.90M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.7% | 2,881 | 1,886 | $520K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.5% | 1,879 | 1,869 | $325K |
| Q3014 | Telehealth originating site facility fee | 2.5% | 8,277 | 6,558 | $227K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 1,154 | 838 | $207K |
| 99441 | 2.0% | 1,085 | 982 | $184K | |
| G0467 | Community health center visit, returning patientFederally 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 | 1.8% | 7,371 | 5,291 | $162K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.6% | 833 | 192 | $143K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 655 | 648 | $106K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.1% | 607 | 442 | $104K |
56 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 658 | $100K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 275 | $49K |
| 99442 | <1% | 232 | $37K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 296 | $25K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 664 | $24K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 159 | $23K |
| 0011A | <1% | 154 | $22K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 112 | $18K |
| 0012A | <1% | 139 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,660 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 82 | $13K |
| 91301 | <1% | 78 | $13K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,615 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 33 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 119 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | $2K |
| 99383 | <1% | 15 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,509 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 662 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 519 | $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 | <1% | 548 | $608.74 |
| 80053 | Comprehensive metabolic panel | <1% | 1,787 | $607.36 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 502 | $605.34 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,480 | $596.36 |
| 81002 | <1% | 377 | $368.29 | |
| 84481 | <1% | 14 | $366.78 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,154 | $322.57 |
| 86780 | <1% | 229 | $201.78 | |
| 92250 | <1% | 27 | $201.78 | |
| 84439 | <1% | 132 | $201.78 | |
| G0008 | Administration of influenza virus vaccine | <1% | 146 | $51.52 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $42.08 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 128 | $28.17 |
| 90686 | <1% | 413 | $21.95 | |
| 90715 | <1% | 44 | $18.21 | |
| 87428 | <1% | 127 | $18.05 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $10.27 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 73 | $9.48 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 518 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 150 | $0.00 |
| 36416 | 0% | 860 | $0.00 | |
| 90688 | 0% | 178 | $0.00 | |
| 86803 | 0% | 82 | $0.00 | |
| 82043 | 0% | 221 | $0.00 | |
| 82607 | 0% | 176 | $0.00 | |
| 85027 | 0% | 15 | $0.00 | |
| 87340 | 0% | 66 | $0.00 | |
| 86695 | 0% | 16 | $0.00 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 12 | $0.00 |
| 80061 | Lipid panel | 0% | 1,221 | $0.00 |
| 82570 | 0% | 232 | $0.00 | |
| 86703 | 0% | 242 | $0.00 | |
| 80074 | 0% | 16 | $0.00 | |
| 90461 | 0% | 67 | $0.00 | |
| 90710 | 0% | 12 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.