Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1679649842 · TUCUMCARI, NM 88401 · Non-Pharmacy Dispensing Site · NPI assigned 11/28/2006

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

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

$1.43M
Total Medicaid Paid
15,037
Total Claims
12,554
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date11/28/2006

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 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 3,212 $265K
2019 2,772 $214K
2020 2,014 $179K
2021 1,841 $189K
2022 1,866 $195K
2023 1,899 $219K
2024 1,433 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,004 4,186 $668K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,283 3,623 $521K
99441 386 370 $66K
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 2,384 1,582 $63K
99443 145 127 $25K
0011A 108 108 $18K
0012A 99 99 $15K
0064A 71 69 $10K
91301 55 54 $9K
99442 48 44 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 35 28 $5K
0071A 30 30 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 88 63 $4K
91307 18 18 $3K
0144A 16 16 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $2K
0072A 28 28 $2K
Q3014 Telehealth originating site facility fee 19 15 $733.56
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 164 159 $403.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 406 324 $243.31
87428 250 243 $239.62
36415 Collection of venous blood by venipuncture 814 789 $53.74
J1885 Injection, ketorolac tromethamine, per 15 mg 32 27 $9.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 15 $0.71
82570 13 13 $0.00
80061 Lipid panel 81 81 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 16 16 $0.00
80053 Comprehensive metabolic panel 156 156 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100 100 $0.00
83036 Hemoglobin; glycosylated (A1C) 50 50 $0.00
90688 13 13 $0.00
85027 70 70 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 15 13 $0.00
82043 13 13 $0.00