Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › SANTA FE › PRESBYTERIAN HEALTHCARE SERVICES

PRESBYTERIAN HEALTHCARE SERVICES

NPI: 1730684853 · SANTA FE, NM 87507 · General Acute Care Hospital · NPI assigned 03/29/2018

$21.55M
Total Medicaid Paid
395,912
Total Claims
348,215
Beneficiaries
229
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOLAND, KIMBERLY (MANAGER)
NPI Enumeration Date03/29/2018

Related Entities

Other providers sharing the same authorized official: POLAND, KIMBERLY

ProviderCityStateTotal Paid
PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM $345.54M
PRESBYTERIAN HEALTHCARE SERVICES SANTA FE NM $292K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,228 $569K
2019 50,155 $2.59M
2020 35,863 $2.16M
2021 43,132 $2.27M
2022 80,468 $4.58M
2023 97,472 $5.10M
2024 75,594 $4.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 20,445 19,372 $3.86M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,173 12,434 $3.52M
99283 Emergency department visit for the evaluation and management, moderate severity 18,273 17,260 $2.55M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,232 3,108 $1.12M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,460 7,295 $1.02M
D2930 Prefabricated stainless steel crown - primary tooth 4,548 775 $697K
70450 Computed tomography, head or brain; without contrast material 2,451 2,365 $439K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,712 6,645 $432K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,233 2,192 $329K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,427 6,674 $295K
D2934 1,808 413 $286K
87631 1,968 1,937 $268K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,069 2,547 $249K
96375 Therapeutic injection; each additional sequential IV push 4,897 4,298 $245K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,595 4,190 $216K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,118 2,069 $213K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,387 4,554 $205K
71046 Radiologic examination, chest; 2 views 3,538 3,432 $204K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,994 23,007 $201K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,930 1,596 $199K
80053 Comprehensive metabolic panel 14,737 13,849 $194K
71045 Radiologic examination, chest; single view 3,208 3,029 $172K
96361 Intravenous infusion, hydration; each additional hour 4,174 3,549 $154K
D7140 Extraction, erupted tooth or exposed root 958 328 $150K
G0378 Hospital observation service, per hour 289 280 $147K
93976 932 901 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,237 1,072 $137K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,268 1,244 $127K
80048 Basic metabolic panel (calcium, ionized) 10,539 9,662 $117K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,319 3,256 $115K
0225U 265 265 $112K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,322 3,259 $112K
73562 1,037 888 $95K
71275 Computed tomographic angiography, chest, with contrast material 264 262 $90K
81513 772 754 $88K
72125 Computed tomography, cervical spine; without contrast material 376 372 $80K
84484 4,778 4,068 $77K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,904 2,389 $76K
84443 Thyroid stimulating hormone (TSH) 4,699 4,618 $75K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 772 761 $74K
74176 Computed tomography, abdomen and pelvis; without contrast material 329 316 $70K
76705 Ultrasound, abdominal, real time with image documentation; limited 646 636 $68K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 609 597 $68K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 419 136 $67K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 941 867 $64K
76830 Ultrasound, transvaginal 559 549 $63K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 437 435 $62K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,222 1,197 $60K
73610 587 543 $60K
80076 5,500 5,240 $58K
83690 7,067 6,604 $55K
D0210 Intraoral - complete series of radiographic images 237 234 $55K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,827 966 $52K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,301 1,251 $50K
87086 Culture, bacterial; quantitative colony count, urine 6,153 5,838 $49K
D1206 Topical application of fluoride varnish 292 291 $48K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,342 4,124 $48K
73030 519 468 $47K
36415 Collection of venous blood by venipuncture 9,032 8,456 $42K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,329 2,282 $40K
81025 3,764 3,624 $38K
96376 1,272 985 $36K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,470 1,461 $34K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,081 697 $33K
73110 445 396 $33K
81001 7,025 6,668 $33K
84702 1,830 1,563 $32K
59025 Fetal non-stress test 257 213 $31K
83036 Hemoglobin; glycosylated (A1C) 3,648 3,602 $31K
85027 4,827 4,564 $31K
83735 4,330 3,969 $31K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 816 799 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 763 759 $29K
73130 371 331 $28K
87481 826 805 $28K
86780 2,160 2,139 $28K
99281 Emergency department visit for the evaluation and management, self-limited or minor 435 421 $28K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 830 811 $28K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,017 1,012 $27K
83605 3,040 2,685 $27K
J3490 Unclassified drugs 15,850 5,629 $26K
83880 1,175 1,114 $26K
86803 1,850 1,840 $25K
73630 351 336 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 196 181 $22K
87650 985 971 $21K
84439 2,342 2,303 $21K
82077 1,803 1,657 $20K
84703 1,820 1,759 $20K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 749 743 $19K
97162 372 368 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 246 234 $19K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 556 555 $18K
80061 Lipid panel 1,402 1,391 $18K
81514 95 95 $18K
87077 2,128 2,039 $18K
86850 1,811 1,738 $18K
81003 4,819 4,619 $17K
85379 1,085 1,050 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 283 277 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 200 199 $16K
73502 319 297 $16K
87653 433 427 $15K
D1120 Prophylaxis - child 90 90 $15K
87634 224 223 $15K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 27 $15K
82075 589 526 $14K
87186 1,392 1,332 $14K
71260 Computed tomography, thorax, diagnostic; with contrast material 50 50 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 427 250 $13K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 81 80 $13K
87081 1,790 1,774 $13K
87040 808 610 $12K
76801 97 91 $12K
J7120 Ringers lactate infusion, up to 1000 cc 6,101 5,083 $11K
85610 2,420 2,239 $11K
86900 2,170 2,063 $11K
94010 82 78 $11K
82962 2,033 1,404 $11K
J2704 Injection, propofol, 10 mg 3,063 2,798 $10K
72100 105 105 $9K
86901 2,167 2,061 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 363 352 $9K
86762 608 605 $9K
87340 852 846 $9K
86787 631 628 $8K
82805 147 132 $8K
82728 593 584 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 140 102 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 15 $8K
D3221 357 117 $7K
99201 190 182 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,068 4,704 $7K
86140 1,647 1,559 $7K
J2270 Injection, morphine sulfate, up to 10 mg 2,171 1,747 $6K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 252 249 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 146 144 $6K
87660 281 278 $6K
87510 281 278 $6K
87480 282 279 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,163 5,445 $5K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 14 14 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,525 3,409 $5K
85652 1,021 987 $5K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 35 12 $5K
70486 29 27 $5K
36000 639 625 $4K
93971 52 50 $4K
74018 60 60 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 53 49 $4K
J0690 Injection, cefazolin sodium, 500 mg 902 744 $4K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 26 26 $4K
73080 56 52 $4K
94729 66 65 $4K
94726 27 26 $4K
82570 729 682 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,927 2,830 $3K
97161 119 117 $3K
94760 661 540 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 2,263 1,974 $3K
99232 Subsequent hospital care, per day, moderate complexity 47 30 $3K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 129 129 $3K
83655 202 201 $3K
82550 314 290 $2K
90715 251 249 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 31 31 $2K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 202 197 $2K
88304 59 59 $2K
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 16 15 $2K
82950 266 265 $2K
80074 24 24 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 866 722 $1K
82043 224 220 $1K
83550 103 97 $1K
82607 65 64 $1K
80179 57 54 $923.44
94762 19 13 $901.25
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 619 569 $892.59
83540 116 110 $885.99
J2060 Injection, lorazepam, 2 mg 606 518 $820.90
80143 46 43 $756.37
J2250 Injection, midazolam hydrochloride, per 1 mg 892 859 $698.97
94375 13 12 $634.20
J1170 Injection, hydromorphone, up to 4 mg 551 438 $605.30
82140 42 39 $597.69
J1650 Injection, enoxaparin sodium, 10 mg 66 39 $562.58
87210 97 94 $541.92
84145 18 18 $495.43
81002 172 167 $479.16
82565 78 76 $385.12
J2003 Injection, lidocaine hydrochloride, 1 mg 86 76 $314.32
83615 41 40 $291.99
84156 76 68 $289.29
97016 26 14 $284.90
J1200 Injection, diphenhydramine hcl, up to 50 mg 497 456 $266.78
85730 53 53 $261.66
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 13 $260.57
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 26 12 $249.89
84550 44 41 $212.28
S0028 Injection, famotidine, 20 mg 100 84 $201.64
J3370 Injection, vancomycin hcl, 500 mg 34 26 $193.21
82248 31 31 $173.45
85018 61 60 $160.51
85014 54 52 $160.35
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 31 29 $139.22
J0780 Injection, prochlorperazine, up to 10 mg 73 69 $131.75
J1815 Injection, insulin, per 5 units 67 29 $122.86
J3475 Injection, magnesium sulfate, per 500 mg 33 28 $104.08
J1010 Injection, methylprednisolone acetate, 1 mg 41 40 $102.06
J2795 Injection, ropivacaine hydrochloride, 1 mg 18 14 $90.69
J2370 Injection, phenylephrine hcl, up to 1 ml 63 61 $85.85
82247 15 15 $84.39
J2550 Injection, promethazine hcl, up to 50 mg 125 72 $68.41
82040 12 12 $65.32
84460 12 12 $62.71
84450 12 12 $61.35
J2765 Injection, metoclopramide hcl, up to 10 mg 129 124 $58.32
G0008 Administration of influenza virus vaccine 25 25 $53.80
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 14 $50.71
88738 12 12 $49.95
J1790 Injection, droperidol, up to 5 mg 31 28 $49.46
84520 12 12 $43.23
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 67 60 $31.86
J2919 Injection, methylprednisolone sodium succinate, 5 mg 13 13 $21.96
J0330 Injection, succinylcholine chloride, up to 20 mg 29 29 $15.06
J1630 Injection, haloperidol, up to 5 mg 15 14 $14.49
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 60 55 $12.58
J0171 Injection, adrenalin, epinephrine, 0.1 mg 15 12 $11.15
J1171 Injection, hydromorphone, 0.1 mg 14 12 $4.97