Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Presbyterian Healthcare Services

Presbyterian Healthcare Services was paid $20.59M by Medicaid between Jan 2018 and Dec 2024, across 182 billing codes. Its largest line is 99283, emergency room visit (moderate) — 21% of everything it billed.

33Billing provider infoPRESBYTERIAN HEALTHCARE SERVICES
SOCORRO, NM 87801
33aNPI1790761138assigned 12/19/2005
28Total paid$20.59M
24GClaims257,056
24DCodes billed182
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New Mexico

Rank by total paid#8 of 39
Median peer was paid$669K
This provider vs. median31×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201844,911$3.01M
201932,638$2.44M
202018,845$1.72M
202124,085$1.94M
202240,630$3.28M
202353,313$4.28M
2024incomplete42,634$3.92M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 21,214 19,708 $4.34M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 20% 17,737 16,566 $4.11M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 16% 10,098 9,135 $3.28M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3.5% 4,123 3,980 $711K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.0% 1,212 1,169 $626K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.6% 6,832 5,406 $530K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.9% 4,813 4,166 $385K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.7% 2,440 2,339 $359K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.7% 3,998 3,490 $347K
70450 Computed tomography, head or brain; without contrast material 1.6% 1,323 1,268 $328K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.2% 3,623 1,264 $239K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 1,487 1,308 $237K
170 more codes
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 652 $233K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.1% 1,082 $228K
96375 Therapeutic injection; each additional sequential IV push 1.1% 3,111 $219K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.0% 3,877 $214K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16,991 $182K
87631 <1% 973 $169K
71046 Radiologic examination, chest; 2 views <1% 2,043 $165K
G0378 Hospital observation service, per hour <1% 235 $155K
71045 Radiologic examination, chest; single view <1% 2,274 $153K
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 <1% 981 $149K
80053 Comprehensive metabolic panel <1% 10,065 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 558 $133K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,219 $123K
84443 Thyroid stimulating hormone (TSH) <1% 5,462 $119K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,013 $118K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,286 $112K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,283 $111K
96361 Intravenous infusion, hydration; each additional hour <1% 1,831 $101K
80048 Basic metabolic panel (calcium, ionized) <1% 8,015 $92K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 487 $74K
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 <1% 612 $71K
73562 <1% 549 $69K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,599 $69K
84484 <1% 3,012 $69K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,204 $61K
83036 Hemoglobin; glycosylated (A1C) <1% 5,132 $56K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,183 $56K
83690 <1% 3,679 $52K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 618 $52K
73610 <1% 351 $49K
80306 <1% 1,552 $47K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,763 $47K
36415 Collection of venous blood by venipuncture <1% 6,809 $43K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 807 $43K
73030 <1% 284 $40K
84439 <1% 3,330 $40K
87650 <1% 1,235 $39K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 185 $38K
81025 <1% 3,086 $38K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 337 $37K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,084 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,831 $37K
73630 <1% 416 $37K
81001 <1% 5,556 $35K
80076 <1% 3,103 $33K
71275 Computed tomographic angiography, chest, with contrast material <1% 52 $30K
81513 <1% 190 $28K
83605 <1% 1,845 $27K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 761 $27K
96376 <1% 633 $26K
99214 Doctor's office visit, returning patient (more involved) <1% 1,705 $26K
87040 <1% 1,019 $25K
87077 <1% 1,853 $25K
82728 <1% 1,293 $24K
85027 <1% 2,339 $22K
59025 Fetal non-stress test <1% 103 $22K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 40 $21K
86780 <1% 1,080 $21K
87632 <1% 55 $20K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 413 $20K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 180 $19K
J3490 Unclassified drugs <1% 6,817 $18K
73130 <1% 184 $17K
72125 Computed tomography, cervical spine; without contrast material <1% 55 $17K
87186 <1% 1,286 $17K
83880 <1% 500 $17K
80061 Lipid panel <1% 1,086 $17K
82077 <1% 928 $16K
86803 <1% 770 $16K
83735 <1% 1,830 $16K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 108 $16K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 146 $13K
92557 <1% 88 $13K
92567 <1% 229 $13K
81003 <1% 2,853 $13K
82962 <1% 1,543 $12K
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 <1% 287 $11K
82805 <1% 155 $11K
85379 <1% 631 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 279 $10K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 284 $10K
85610 <1% 1,429 $9K
76830 Ultrasound, transvaginal <1% 70 $9K
87081 <1% 724 $9K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 664 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 13 $9K
94762 <1% 102 $8K
87481 <1% 188 $8K
36000 <1% 840 $8K
Q3014 Telehealth originating site facility fee <1% 141 $7K
86140 <1% 1,206 $7K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 178 $7K
86850 <1% 530 $7K
87430 <1% 333 $7K
84702 <1% 229 $6K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,713 $6K
87480 <1% 177 $5K
87510 <1% 177 $5K
87660 <1% 177 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 88 $5K
99213 Doctor's office visit, returning patient (routine) <1% 441 $5K
81514 <1% 12 $5K
86900 <1% 595 $5K
90715 <1% 221 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,891 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 119 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 12 $4K
83550 <1% 333 $4K
93976 <1% 16 $3K
82570 <1% 499 $3K
86901 <1% 591 $3K
83540 <1% 372 $3K
87340 <1% 193 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,329 $3K
82043 <1% 396 $3K
73110 <1% 26 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 152 $3K
86787 <1% 125 $2K
72100 <1% 14 $2K
80074 <1% 28 $2K
10060 <1% 17 $2K
87653 <1% 36 $2K
86762 <1% 93 $2K
85652 <1% 412 $2K
87070 <1% 136 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,423 $2K
87075 <1% 64 $1K
80143 <1% 67 $1K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 12 $1K
96367 <1% 28 $1K
83655 <1% 62 $1K
J2704 Injection, propofol, 10 mg <1% 324 $1K
80179 <1% 56 $1K
97161 <1% 38 $1K
97162 <1% 12 $1K
87205 <1% 135 $893.15
99215 Doctor's office visit, returning patient (complex) <1% 45 $867.31
84703 <1% 62 $866.64
82550 <1% 108 $858.05
82010 <1% 74 $796.07
87807 <1% 38 $744.52
J2270 Injection, morphine sulfate, up to 10 mg <1% 575 $727.80
82607 <1% 48 $696.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 121 $613.19
J3010 Injection, fentanyl citrate, 0.1 mg <1% 318 $595.89
82140 <1% 43 $587.82
81002 <1% 183 $553.27
83516 <1% 24 $544.55
90670 <1% 43 $510.41
11721 <1% 23 $502.30
82947 <1% 65 $398.21
86038 <1% 28 $386.31
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 74 $259.94
80050 General health panel <1% 14 $252.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 187 $238.63
82375 <1% 15 $228.29
94760 <1% 15 $227.17
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 58 $155.58
82784 <1% 15 $142.24
J2060 Injection, lorazepam, 2 mg <1% 46 $122.39
G0008 Administration of influenza virus vaccine <1% 29 $98.67
86431 <1% 14 $92.84
85018 <1% 14 $60.24
J1596 Injection, glycopyrrolate, 0.1 mg <1% 12 $54.94
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 52 $48.98
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 85 $44.77
Q2039 Influenza virus vaccine, not otherwise specified <1% 13 $43.61
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 18 $25.09
J1815 Injection, insulin, per 5 units <1% 38 $8.27
97799 <1% 25 $0.04

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 officialCARMIGNANI, VICTORIA (REGULATORY COMPLIANCE)
Same official

Other billing entities under CARMIGNANI, VICTORIA

Full network →
ProviderLocationPaid
Presbyterian Healthcare ServicesSocorro, NM$45K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.