Behavioral
Presbyterian Medical Services
Presbyterian Medical Services was paid $2.04M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is G9001, Coordinated care fee, initial rate — 82% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
SANTA FE, NM 87501
SANTA FE, NM 87501
33aNPI1518910553assigned 05/19/2006
33bProvider typeCounselor
28Total paid$2.04M
24GClaims28,914
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in New Mexico
Rank by total paid#7 of 51
Median peer was paid$261K
This provider vs. median7.8×
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 | 5,024 | $243K | |
| 2019 | 4,921 | $433K | |
| 2020 | 3,705 | $306K | |
| 2021 | 3,605 | $278K | |
| 2022 | 2,715 | $269K | |
| 2023 | 4,269 | $313K | |
| 2024incomplete | 4,675 | $201K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9001 | Coordinated care fee, initial rate | 82% | 7,175 | 6,967 | $1.67M |
| Q3014 | Telehealth originating site facility fee | 9.6% | 8,456 | 6,588 | $197K |
| D0999 | Unspecified diagnostic procedure, by report | 5.2% | 3,170 | 2,527 | $106K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.7% | 380 | 54 | $35K |
| 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 | 1.3% | 1,007 | 961 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 141 | 133 | $4K |
| 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% | 16 | 16 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 27 | $585.46 |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 123 | 102 | $78.64 |
| T1016 | Case management, each 15 minutes | <1% | 8,180 | 5,841 | $1.05 |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 82 | 77 | $0.03 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 33 | 31 | $0.00 |
6 more codes
| D1110 | Prophylaxis - adult | 0% | 28 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 41 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 13 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 15 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 12 | $0.00 |
| D1206 | Topical application of fluoride varnish | 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 (VP OF FINANCE)
| 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 | 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 | 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.