Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $7.64M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 48% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
ESPANOLA, NM 87532
ESPANOLA, NM 87532
33aNPI1306175922assigned 12/10/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.64M
24GClaims47,259
24DCodes billed19
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#15 of 80
Median peer was paid$1.11M
This provider vs. median6.9×
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 | 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 | |
| 2024incomplete | 5,522 | $894K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 48% | 20,839 | 8,457 | $3.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 6,774 | 4,283 | $1.05M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.6% | 3,688 | 2,209 | $659K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 7.5% | 3,461 | 1,843 | $577K |
| 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 | 5.1% | 2,630 | 2,404 | $389K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.3% | 1,910 | 1,881 | $327K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 1,780 | 1,053 | $322K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.7% | 1,576 | 849 | $280K |
| 99441 | 2.0% | 907 | 698 | $156K | |
| Q3014 | Telehealth originating site facility fee | 1.6% | 2,326 | 1,443 | $125K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 170 | 112 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | 137 | $28K |
7 more codes
| H0031 | Mental health assessment, by non-physician | <1% | 111 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 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 | <1% | 360 | $10K |
| G0467 | Community health center visit, returning patient | <1% | 125 | $6K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 33 | $5K |
| 99442 | <1% | 20 | $3K | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 330 | $15.74 |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.