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

Presbyterian Medical Services

Presbyterian Medical Services was paid $11.04M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
ALAMOGORDO, NM 88310
33aNPI1821341488assigned 10/19/2012
28Total paid$11.04M
24GClaims77,684
24DCodes billed53
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#10 of 80
Median peer was paid$1.11M
This provider vs. median9.9×

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$100K$200K$300K2018201920202021202220232024
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
201814,126$1.70M
201915,114$1.91M
202010,476$1.67M
20219,093$1.45M
202211,765$1.75M
202310,302$1.52M
2024incomplete6,808$1.03M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 22% 15,309 14,185 $2.47M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 14,443 11,040 $2.23M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 16% 10,292 4,143 $1.80M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 14% 8,519 6,700 $1.49M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 5.2% 3,231 2,599 $571K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 4.7% 2,972 2,953 $516K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.4% 2,750 2,238 $481K
90853 Group psychotherapy (other than of a multiple-family group) 4.1% 2,582 1,100 $458K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 1.5% 998 179 $166K
Q3014 Telehealth originating site facility fee 1.3% 6,932 6,349 $141K
99441 1.2% 751 677 $129K
99442 1.2% 744 668 $128K
41 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 746 $124K
90792 Psychiatric diagnostic evaluation with medical services <1% 553 $99K
99203 Doctor's office visit, new patient (routine) <1% 421 $66K
G0467 Community health center visit, returning patient <1% 1,652 $49K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 188 $31K
H2011 Crisis intervention service, per 15 minutes <1% 134 $24K
99204 Doctor's office visit, new patient (more involved) <1% 67 $11K
0012A <1% 37 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 659 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 87 $5K
0011A <1% 29 $5K
87428 <1% 155 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 22 $4K
36415 Collection of venous blood by venipuncture <1% 895 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 282 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 16 $3K
99443 <1% 15 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 13 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 63 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 13 $2K
99215 Doctor's office visit, returning patient (complex) <1% 15 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 452 $2K
99173 <1% 59 $777.56
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% 106 $570.56
86703 <1% 30 $538.86
90715 <1% 100 $520.10
90688 <1% 169 $347.68
90686 <1% 45 $186.43
80061 Lipid panel <1% 165 $183.39
87086 Culture, bacterial; quantitative colony count, urine <1% 13 $166.64
36416 <1% 258 $51.12
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 15 $0.00
81002 0% 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 16 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 177 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 27 $0.00
80053 Comprehensive metabolic panel 0% 322 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 0% 29 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 64 $0.00
81001 0% 25 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 15 $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 officialWELCH, MARC (VICE PRESIDENT OF FINANCE)
Same official

Other billing entities under WELCH, MARC

Full network →
ProviderLocationPaid
Presbyterian Medical ServicesArtesia, NM$7.38M
Presbyterian Medical ServicesRio Rancho, NM$244K
Presbyterian Medical ServicesEspanola, NM$0.00

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