Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1447339361 · RESERVE, NM 87830 · Non-Pharmacy Dispensing Site · NPI assigned 11/02/2006

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

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

$844K
Total Medicaid Paid
7,125
Total Claims
5,918
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (CFO)
NPI Enumeration Date11/02/2006

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 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 THOREAU NM $675K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,537 $146K
2019 1,533 $170K
2020 843 $93K
2021 760 $94K
2022 1,023 $140K
2023 914 $123K
2024 515 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,481 2,103 $318K
D0999 Unspecified diagnostic procedure, by report 1,296 1,165 $247K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,935 1,626 $232K
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 995 620 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 62 62 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 35 $5K
0011A 28 28 $5K
0012A 18 18 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $1K
36415 Collection of venous blood by venipuncture 66 64 $0.00
80053 Comprehensive metabolic panel 12 12 $0.00
D0120 Periodic oral evaluation - established patient 50 50 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 15 $0.00
99173 39 39 $0.00
81002 41 41 $0.00
D1120 Prophylaxis - child 27 27 $0.00