Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1407898034 · SOCORRO, NM 87801 · Non-Pharmacy Dispensing Site · NPI assigned 06/11/2006

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

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

$8.23M
Total Medicaid Paid
60,880
Total Claims
43,983
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date06/11/2006

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 CARLSBAD NM $9.16M
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 11,578 $1.49M
2019 12,411 $1.55M
2020 9,664 $1.38M
2021 7,636 $1.07M
2022 6,441 $962K
2023 7,385 $953K
2024 5,765 $830K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 9,019 3,765 $1.58M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,525 8,739 $1.56M
90834 Psychotherapy, 45 minutes with patient 7,373 5,129 $1.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,384 7,296 $1.22M
H2017 Psychosocial rehabilitation services, per 15 minutes 3,762 1,179 $633K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,372 2,248 $372K
90837 Psychotherapy, 53 minutes with patient 2,011 1,461 $347K
90832 Psychotherapy, 30 minutes with patient 1,316 1,106 $233K
90853 Group psychotherapy (other than of a multiple-family group) 1,285 553 $226K
90791 Psychiatric diagnostic evaluation 947 939 $165K
Q3014 Telehealth originating site facility fee 1,973 1,318 $120K
99441 706 636 $119K
99442 447 400 $75K
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 2,643 1,850 $69K
99215 Prolong outpt/office vis 334 301 $40K
0011A 180 171 $28K
0012A 173 168 $26K
H2011 Crisis intervention service, per 15 minutes 138 117 $23K
99443 130 112 $22K
91300 101 95 $16K
90847 Family psychotherapy with the patient present, 50 minutes 61 37 $12K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 263 196 $10K
0001A 72 69 $5K
H0049 Alcohol and/or drug screening 127 118 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 16 $3K
90792 Psychiatric diagnostic evaluation with medical services 14 14 $3K
0002A 66 65 $2K
0031A 19 17 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
0072A 13 13 $2K
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 1,301 922 $941.99
87428 167 164 $933.75
0013A 15 14 $898.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 630 620 $442.70
80061 Lipid panel 205 204 $366.78
36415 Collection of venous blood by venipuncture 1,196 1,168 $336.92
90686 300 298 $239.16
85025 Blood count; complete (CBC), automated, and automated differential WBC count 397 393 $183.39
90715 29 29 $4.94
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 13 13 $4.37
83036 Hemoglobin; glycosylated (A1C) 440 437 $0.00
80053 Comprehensive metabolic panel 583 574 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 409 322 $0.00
81001 28 28 $0.00
84443 Thyroid stimulating hormone (TSH) 93 90 $0.00
86803 36 36 $0.00
91301 16 16 $0.00
90688 168 168 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 24 24 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 113 111 $0.00
90472 Immunization administration, each additional vaccine (list separately) 20 19 $0.00
86703 61 60 $0.00
99173 13 13 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 72 58 $0.00
80306 19 16 $0.00
84439 18 17 $0.00
80305 19 16 $0.00