Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $5.57M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1477975688assigned 01/08/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.57M
24GClaims41,862
24DCodes billed44
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#22 of 80
Median peer was paid$1.11M
This provider vs. median5.0×
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 | 5,681 | $731K | |
| 2019 | 6,989 | $931K | |
| 2020 | 5,727 | $820K | |
| 2021 | 6,274 | $895K | |
| 2022 | 5,626 | $812K | |
| 2023 | 6,356 | $728K | |
| 2024incomplete | 5,209 | $655K |
Box 24 · Service lines
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 | 28% | 9,911 | 9,041 | $1.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 10,033 | 9,070 | $1.57M |
| D0999 | Unspecified diagnostic procedure, by report | 14% | 4,155 | 3,209 | $792K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 10% | 3,311 | 1,709 | $568K |
| 99441 | 4.4% | 1,645 | 1,528 | $243K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 1,085 | 734 | $183K |
| H0049 | Alcohol and/or drug screening | 2.2% | 3,945 | 3,708 | $123K |
| 99442 | 2.2% | 784 | 724 | $121K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 539 | 528 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 398 | 384 | $59K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 301 | 296 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 163 | 158 | $27K |
32 more codes
| G0467 | Community health center visit, returning patient | <1% | 1,118 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 134 | $21K |
| 0011A | <1% | 115 | $20K | |
| 0012A | <1% | 104 | $17K | |
| Q3014 | Telehealth originating site facility fee | <1% | 524 | $12K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 211 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,204 | $9K |
| 0064A | <1% | 65 | $8K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 47 | $8K |
| 91301 | <1% | 47 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | $6K |
| 99408 | <1% | 32 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 418 | $6K |
| 0013A | <1% | 41 | $5K | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 20 | $3K |
| 0031A | <1% | 16 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 358 | $2K |
| 90686 | <1% | 251 | $366.95 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 89 | $333.28 |
| 80061 | Lipid panel | <1% | 103 | $333.28 |
| D0120 | Dental checkup, returning patient | 0% | 55 | $0.00 |
| 90656 | 0% | 45 | $0.00 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 146 | $0.00 |
| 90688 | 0% | 150 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 49 | $0.00 |
| 88142 | 0% | 13 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 64 | $0.00 |
| 86703 | 0% | 28 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 14 | $0.00 |
| 91322 | 0% | 14 | $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 | Socorro, NM | $8.23M |
| Presbyterian Medical Services | Espanola, NM | $7.64M |
| PMS Dba Roundtree Childrens' Development Services | Farmington, NM | $6.89M |
| 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.