Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $4.02M by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
CUBA, NM 87013
CUBA, NM 87013
33aNPI1669485975assigned 08/15/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$4.02M
24GClaims38,684
24DCodes billed71
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#5 of 19
Median peer was paid$1.05M
This provider vs. median3.8×
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 | 5,353 | $523K | |
| 2019 | 5,126 | $470K | |
| 2020 | 4,189 | $437K | |
| 2021 | 8,080 | $850K | |
| 2022 | 5,229 | $573K | |
| 2023 | 6,538 | $687K | |
| 2024incomplete | 4,169 | $484K |
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 | 37% | 9,621 | 8,362 | $1.48M |
| 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 | 28% | 7,721 | 6,682 | $1.12M |
| D0999 | Unspecified diagnostic procedure, by report | 12% | 2,591 | 2,307 | $498K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 1,473 | 1,369 | $242K |
| 99441 | 1.8% | 437 | 404 | $71K | |
| 0012A | 1.5% | 418 | 399 | $60K | |
| 0011A | 1.5% | 385 | 370 | $59K | |
| 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 | 1.4% | 1,964 | 1,431 | $58K |
| 91300 | 1.2% | 501 | 477 | $50K | |
| 0001A | 1.0% | 428 | 392 | $42K | |
| 99442 | <1% | 235 | 213 | $37K | |
| 0013A | <1% | 220 | 213 | $36K |
59 more codes
| D1206 | Topical application of fluoride varnish | <1% | 187 | $31K |
| 0072A | <1% | 146 | $25K | |
| 91301 | <1% | 429 | $24K | |
| 0002A | <1% | 259 | $21K | |
| 0071A | <1% | 116 | $20K | |
| D0120 | Dental checkup, returning patient | <1% | 122 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | $19K |
| D1120 | Dental cleaning, child | <1% | 108 | $17K |
| H0049 | Alcohol and/or drug screening | <1% | 1,851 | $13K |
| Q3014 | Telehealth originating site facility fee | <1% | 62 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 53 | $9K |
| 0003A | <1% | 58 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 55 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,837 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 29 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 39 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $4K |
| 0064A | <1% | 53 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,171 | $3K |
| D0272 | Bitewings - two radiographic images | <1% | 14 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 13 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 163 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 845 | $2K |
| 87428 | <1% | 314 | $2K | |
| 81002 | <1% | 660 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 22 | $885.70 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | $840.64 |
| 90686 | <1% | 512 | $801.32 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 173 | $387.58 |
| 91307 | <1% | 149 | $359.24 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 81 | $356.76 |
| 36416 | <1% | 313 | $193.69 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 1,057 | $173.84 |
| 90656 | 0% | 12 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 348 | $0.00 |
| 96373 | 0% | 14 | $0.00 | |
| 82043 | 0% | 12 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 33 | $0.00 |
| 82607 | 0% | 22 | $0.00 | |
| 90688 | 0% | 102 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 130 | $0.00 |
| 86803 | 0% | 12 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 30 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 27 | $0.00 |
| 92551 | 0% | 20 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 86703 | 0% | 13 | $0.00 | |
| 82570 | 0% | 12 | $0.00 | |
| 80061 | Lipid panel | 0% | 243 | $0.00 |
| 99173 | 0% | 42 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 372 | $0.00 |
| 81025 | 0% | 59 | $0.00 | |
| 82274 | 0% | 15 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 30 | $0.00 |
| 91320 | 0% | 12 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 15 | $0.00 |
| 90734 | 0% | 12 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.