Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $416K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 36% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
CUBA, NM 87013
CUBA, NM 87013
33aNPI1740553734assigned 02/22/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$416K
24GClaims2,962
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Mexico
Rank by total paid#53 of 80
Median peer was paid$1.11M
This provider vs. median0.4×
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 | 712 | $99K | |
| 2019 | 482 | $63K | |
| 2020 | 72 | $13K | |
| 2021 | 287 | $33K | |
| 2022 | 492 | $66K | |
| 2023 | 332 | $53K | |
| 2024incomplete | 585 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 36% | 830 | 680 | $148K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 25% | 566 | 312 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 467 | 404 | $80K |
| 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 | 9.1% | 203 | 195 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.0% | 194 | 179 | $37K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 45 | 43 | $7K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19 | 13 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 56 | 54 | $249.60 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 12 | 12 | $0.00 |
| 81002 | 0% | 140 | 137 | $0.00 | |
| 99173 | 0% | 139 | 137 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 26 | 26 | $0.00 |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 26 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 53 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 45 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 92551 | 0% | 13 | $0.00 | |
| 85018 | 0% | 19 | $0.00 | |
| 90686 | 0% | 39 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| 82962 | 0% | 19 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 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 | 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 | Torreon, NM | $1.05M |
| Presbyterian Medical Services | Tularosa, NM | $999K |
| Presbyterian Medical Services | Reserve, NM | $844K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.