Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $2.53M by Medicaid between Jan 2018 and Sep 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
QUESTA, NM 87556
QUESTA, NM 87556
33aNPI1588731582assigned 11/29/2006
33bProvider typeDental Clinic/Center
28Total paid$2.53M
24GClaims19,547
24DCodes billed34
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Dental Clinic/Center providers in New Mexico
Rank by total paid#14 of 41
Median peer was paid$351K
This provider vs. median7.2×
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 | 4,346 | $485K | |
| 2019 | 3,952 | $405K | |
| 2020 | 2,547 | $324K | |
| 2021 | 3,126 | $467K | |
| 2022 | 2,532 | $361K | |
| 2023 | 2,007 | $312K | |
| 2024incomplete | 1,037 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 5,555 | 4,172 | $816K |
| 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 | 20% | 3,657 | 2,953 | $501K |
| D0999 | Unspecified diagnostic procedure, by report | 17% | 2,382 | 2,108 | $442K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 1,720 | 891 | $306K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.3% | 460 | 288 | $82K |
| 99442 | 2.7% | 397 | 359 | $69K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.4% | 378 | 165 | $61K |
| 99441 | 2.0% | 291 | 270 | $50K | |
| 0011A | 1.6% | 236 | 236 | $39K | |
| G0467 | Community health center visit, returning patientFederally 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 | 1.5% | 1,231 | 778 | $38K |
| Q3014 | Telehealth originating site facility fee | 1.3% | 325 | 185 | $33K |
| 0012A | 1.2% | 186 | 184 | $30K |
22 more codes
| 0013A | <1% | 137 | $22K | |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 50 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $4K |
| 0003A | <1% | 30 | $4K | |
| 0124A | <1% | 17 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 87 | $3K |
| 0144A | <1% | 15 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $2K |
| 0072A | <1% | 14 | $1K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 1,052 | $434.73 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 41 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 1,068 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 48 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 12 | $0.00 |
| 90688 | 0% | 12 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| 90686 | 0% | 17 | $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 | Rio Rancho, NM | $5.57M |
| Presbyterian Medical Services | Cuba, NM | $4.02M |
| Presbyterian Medical Services | Gallup, NM | $2.75M |
| 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.