Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1477975688 · RIO RANCHO, NM 87124 · Federally Qualified Health Center (FQHC) · NPI assigned 01/08/2014

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

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

$5.57M
Total Medicaid Paid
41,862
Total Claims
36,285
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date01/08/2014

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 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 5,681 $731K
2019 6,989 $931K
2020 5,727 $820K
2021 6,274 $895K
2022 5,626 $812K
2023 6,356 $728K
2024 5,209 $655K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,911 9,041 $1.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,033 9,070 $1.57M
D0999 Unspecified diagnostic procedure, by report 4,155 3,209 $792K
H2015 Comprehensive community support services, per 15 minutes 3,311 1,709 $568K
99441 1,645 1,528 $243K
90834 Psychotherapy, 45 minutes with patient 1,085 734 $183K
H0049 Alcohol and/or drug screening 3,945 3,708 $123K
99442 784 724 $121K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 539 528 $84K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 398 384 $59K
90792 Psychiatric diagnostic evaluation with medical services 301 296 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 163 158 $27K
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 1,118 879 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 134 131 $21K
0011A 115 115 $20K
0012A 104 104 $17K
Q3014 Telehealth originating site facility fee 524 478 $12K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 211 176 $11K
99215 Prolong outpt/office vis 64 53 $10K
36415 Collection of venous blood by venipuncture 1,204 1,190 $9K
0064A 65 65 $8K
90832 Psychotherapy, 30 minutes with patient 47 27 $8K
91301 47 45 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 37 37 $6K
99408 32 26 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 418 417 $6K
0013A 41 40 $5K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 20 13 $3K
0031A 16 16 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 15 $3K
80053 Comprehensive metabolic panel 358 356 $2K
90686 251 251 $366.95
83036 Hemoglobin; glycosylated (A1C) 89 89 $333.28
80061 Lipid panel 103 103 $333.28
D0120 Periodic oral evaluation - established patient 55 55 $0.00
90656 45 45 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 146 139 $0.00
90688 150 150 $0.00
84443 Thyroid stimulating hormone (TSH) 49 49 $0.00
88142 13 12 $0.00
D1110 Prophylaxis - adult 64 64 $0.00
86703 28 28 $0.00
D0220 Intraoral - periapical first radiographic image 14 14 $0.00
91322 14 14 $0.00