Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1609944800 · TORREON, NM 87013 · Non-Pharmacy Dispensing Site · NPI assigned 12/04/2006

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

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

$1.05M
Total Medicaid Paid
9,654
Total Claims
8,300
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date12/04/2006

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 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 TULAROSA NM $999K
PRESBYTERIAN MEDICAL SERVICES RESERVE NM $844K
PRESBYTERIAN MEDICAL SERVICES THOREAU NM $675K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,345 $117K
2019 1,204 $104K
2020 867 $102K
2021 1,190 $130K
2022 1,674 $216K
2023 2,384 $247K
2024 990 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,672 3,042 $482K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,857 2,519 $397K
99441 301 283 $50K
D0999 Unspecified diagnostic procedure, by report 215 199 $45K
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 963 694 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 150 143 $24K
0011A 47 44 $7K
H0049 Alcohol and/or drug screening 766 713 $5K
99442 26 26 $4K
0012A 26 22 $3K
99215 Prolong outpt/office vis 19 18 $2K
87428 53 52 $538.86
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 80 $200.42
90686 87 86 $5.42
36415 Collection of venous blood by venipuncture 87 79 $0.00
83036 Hemoglobin; glycosylated (A1C) 53 52 $0.00
36416 26 26 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 16 14 $0.00
80053 Comprehensive metabolic panel 27 27 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 88 88 $0.00
81002 70 68 $0.00
99173 12 12 $0.00
80061 Lipid panel 13 13 $0.00