Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1740553734 · CUBA, NM 87013 · Federally Qualified Health Center (FQHC) · NPI assigned 02/22/2012

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

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

$416K
Total Medicaid Paid
2,962
Total Claims
2,448
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DOUG (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date02/22/2012

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 712 $99K
2019 482 $63K
2020 72 $13K
2021 287 $33K
2022 492 $66K
2023 332 $53K
2024 585 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 830 680 $148K
90832 Psychotherapy, 30 minutes with patient 566 312 $102K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 467 404 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 203 195 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 194 179 $37K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 45 43 $7K
90834 Psychotherapy, 45 minutes with patient 19 13 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 56 54 $249.60
D1120 Prophylaxis - child 12 12 $0.00
81002 140 137 $0.00
99173 139 137 $0.00
D0220 Intraoral - periapical first radiographic image 26 26 $0.00
D0230 Intraoral - periapical each additional radiographic image 26 26 $0.00
D1206 Topical application of fluoride varnish 12 12 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 53 48 $0.00
D0150 Comprehensive oral evaluation - new or established patient 45 44 $0.00
90656 12 12 $0.00
92551 13 12 $0.00
85018 19 19 $0.00
90686 39 39 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00
82962 19 17 $0.00
D0272 Bitewings - two radiographic images 12 12 $0.00