Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1518910553 · SANTA FE, NM 87501 · Counselor · NPI assigned 05/19/2006

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

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

$2.04M
Total Medicaid Paid
28,914
Total Claims
23,444
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (VP OF FINANCE)
NPI Enumeration Date05/19/2006

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 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 5,024 $243K
2019 4,921 $433K
2020 3,705 $306K
2021 3,605 $278K
2022 2,715 $269K
2023 4,269 $313K
2024 4,675 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9001 Coordinated care fee, initial rate 7,175 6,967 $1.67M
Q3014 Telehealth originating site facility fee 8,456 6,588 $197K
D0999 Unspecified diagnostic procedure, by report 3,170 2,527 $106K
90853 Group psychotherapy (other than of a multiple-family group) 380 54 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,007 961 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 141 133 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 27 $585.46
H2015 Comprehensive community support services, per 15 minutes 123 102 $78.64
T1016 Case management, each 15 minutes 8,180 5,841 $1.05
S0280 Medical home program, comprehensive care coordination and planning, initial plan 82 77 $0.03
D0220 Intraoral - periapical first radiographic image 33 31 $0.00
D1110 Prophylaxis - adult 28 28 $0.00
90832 Psychotherapy, 30 minutes with patient 41 39 $0.00
90834 Psychotherapy, 45 minutes with patient 13 13 $0.00
D0140 Limited oral evaluation - problem focused 15 15 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 12 12 $0.00
D1206 Topical application of fluoride varnish 14 13 $0.00