Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $1.43M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
TUCUMCARI, NM 88401
TUCUMCARI, NM 88401
33aNPI1679649842assigned 11/28/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$1.43M
24GClaims15,037
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#8 of 19
Median peer was paid$1.05M
This provider vs. median1.4×
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 | 3,212 | $265K | |
| 2019 | 2,772 | $214K | |
| 2020 | 2,014 | $179K | |
| 2021 | 1,841 | $189K | |
| 2022 | 1,866 | $195K | |
| 2023 | 1,899 | $219K | |
| 2024incomplete | 1,433 | $166K |
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 | 47% | 5,004 | 4,186 | $668K |
| 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 | 37% | 4,283 | 3,623 | $521K |
| 99441 | 4.6% | 386 | 370 | $66K | |
| 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 | 4.4% | 2,384 | 1,582 | $63K |
| 99443 | 1.7% | 145 | 127 | $25K | |
| 0011A | 1.3% | 108 | 108 | $18K | |
| 0012A | 1.1% | 99 | 99 | $15K | |
| 0064A | <1% | 71 | 69 | $10K | |
| 91301 | <1% | 55 | 54 | $9K | |
| 99442 | <1% | 48 | 44 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 28 | $5K |
| 0071A | <1% | 30 | 30 | $4K |
22 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 88 | $4K |
| 91307 | <1% | 18 | $3K | |
| 0144A | <1% | 16 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $2K |
| 0072A | <1% | 28 | $2K | |
| Q3014 | Telehealth originating site facility fee | <1% | 19 | $733.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 164 | $403.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 406 | $243.31 |
| 87428 | <1% | 250 | $239.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 814 | $53.74 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 32 | $9.23 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $0.71 |
| 82570 | 0% | 13 | $0.00 | |
| 80061 | Lipid panel | 0% | 81 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 16 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 156 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 100 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 50 | $0.00 |
| 90688 | 0% | 13 | $0.00 | |
| 85027 | 0% | 70 | $0.00 | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 15 | $0.00 |
| 82043 | 0% | 13 | $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 | Questa, NM | $2.53M |
| Presbyterian Medical Services | Santa Fe, NM | $2.04M |
| Presbyterian Medical Services | Farmington, NM | $1.61M |
| 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.