Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1306175922 · ESPANOLA, NM 87532 · Federally Qualified Health Center (FQHC) · NPI assigned 12/10/2009

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

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

$7.64M
Total Medicaid Paid
47,259
Total Claims
26,265
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date12/10/2009

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 CARLSBAD NM $9.16M
PRESBYTERIAN MEDICAL SERVICES SOCORRO NM $8.23M
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 9,796 $1.48M
2019 7,140 $1.09M
2020 7,578 $1.29M
2021 6,625 $1.15M
2022 5,303 $904K
2023 5,295 $830K
2024 5,522 $894K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 20,839 8,457 $3.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,774 4,283 $1.05M
90834 Psychotherapy, 45 minutes with patient 3,688 2,209 $659K
90853 Group psychotherapy (other than of a multiple-family group) 3,461 1,843 $577K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,630 2,404 $389K
90791 Psychiatric diagnostic evaluation 1,910 1,881 $327K
90837 Psychotherapy, 53 minutes with patient 1,780 1,053 $322K
90832 Psychotherapy, 30 minutes with patient 1,576 849 $280K
99441 907 698 $156K
Q3014 Telehealth originating site facility fee 2,326 1,443 $125K
90847 Family psychotherapy with the patient present, 50 minutes 170 112 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 163 137 $28K
H0031 Mental health assessment, by non-physician 111 111 $18K
90792 Psychiatric diagnostic evaluation with medical services 56 56 $11K
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 360 321 $10K
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 125 82 $6K
H2017 Psychosocial rehabilitation services, per 15 minutes 33 13 $5K
99442 20 15 $3K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 330 298 $15.74