Presbyterian Medical Services
Presbyterian Medical Services was paid $438K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
CLOUDCROFT, NM 88317
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 539 | $73K | |
| 2019 | 515 | $69K | |
| 2020 | 398 | $66K | |
| 2021 | 423 | $53K | |
| 2022 | 455 | $59K | |
| 2023 | 521 | $75K | |
| 2024incomplete | 289 | $44K |
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 | 66% | 2,097 | 1,846 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 687 | 591 | $100K |
| 99441 | 8.9% | 223 | 215 | $39K | |
| 99442 | 1.8% | 46 | 44 | $8K | |
| 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% | 18 | 13 | $514.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | 14 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 27 | 27 | $0.00 |
| 36416 | 0% | 27 | 27 | $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.
Who's on the registration
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.