Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $8.23M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 19% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
SOCORRO, NM 87801
SOCORRO, NM 87801
33aNPI1407898034assigned 06/11/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$8.23M
24GClaims60,880
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#2 of 19
Median peer was paid$1.05M
This provider vs. median7.9×
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 | 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 | |
| 2024incomplete | 5,765 | $830K |
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 | 19% | 9,019 | 3,765 | $1.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 10,525 | 8,739 | $1.56M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 16% | 7,373 | 5,129 | $1.30M |
| 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 | 15% | 8,384 | 7,296 | $1.22M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 7.7% | 3,762 | 1,179 | $633K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 2,372 | 2,248 | $372K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 2,011 | 1,461 | $347K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.8% | 1,316 | 1,106 | $233K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.7% | 1,285 | 553 | $226K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 947 | 939 | $165K |
| Q3014 | Telehealth originating site facility fee | 1.5% | 1,973 | 1,318 | $120K |
| 99441 | 1.4% | 706 | 636 | $119K |
46 more codes
| 99442 | <1% | 447 | $75K | |
| G0467 | Community health center visit, returning patient | <1% | 2,643 | $69K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 334 | $40K |
| 0011A | <1% | 180 | $28K | |
| 0012A | <1% | 173 | $26K | |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 138 | $23K |
| 99443 | <1% | 130 | $22K | |
| 91300 | <1% | 101 | $16K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 61 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 263 | $10K |
| 0001A | <1% | 72 | $5K | |
| H0049 | Alcohol and/or drug screening | <1% | 127 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $3K |
| 0002A | <1% | 66 | $2K | |
| 0031A | <1% | 19 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 0072A | <1% | 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% | 1,301 | $941.99 |
| 87428 | <1% | 167 | $933.75 | |
| 0013A | <1% | 15 | $898.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 630 | $442.70 |
| 80061 | Lipid panel | <1% | 205 | $366.78 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,196 | $336.92 |
| 90686 | <1% | 300 | $239.16 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 397 | $183.39 |
| 90715 | <1% | 29 | $4.94 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 13 | $4.37 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 440 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 583 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 409 | $0.00 |
| 81001 | 0% | 28 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 93 | $0.00 |
| 86803 | 0% | 36 | $0.00 | |
| 91301 | 0% | 16 | $0.00 | |
| 90688 | 0% | 168 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 24 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 113 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 20 | $0.00 |
| 86703 | 0% | 61 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 72 | $0.00 |
| 80306 | 0% | 19 | $0.00 | |
| 84439 | 0% | 18 | $0.00 | |
| 80305 | 0% | 19 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.