Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1821341488 · ALAMOGORDO, NM 88310 · Federally Qualified Health Center (FQHC) · NPI assigned 10/19/2012

$11.04M
Total Medicaid Paid
77,684
Total Claims
60,295
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWELCH, MARC (VICE PRESIDENT OF FINANCE)
NPI Enumeration Date10/19/2012

Related Entities

Other providers sharing the same authorized official: WELCH, MARC

ProviderCityStateTotal Paid
PRESBYTERIAN MEDICAL SERVICES ARTESIA NM $7.38M
PRESBYTERIAN MEDICAL SERVICES RIO RANCHO NM $244K
PRESBYTERIAN MEDICAL SERVICES ESPANOLA NM $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,126 $1.70M
2019 15,114 $1.91M
2020 10,476 $1.67M
2021 9,093 $1.45M
2022 11,765 $1.75M
2023 10,302 $1.52M
2024 6,808 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,309 14,185 $2.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,443 11,040 $2.23M
H2015 Comprehensive community support services, per 15 minutes 10,292 4,143 $1.80M
90834 Psychotherapy, 45 minutes with patient 8,519 6,700 $1.49M
90837 Psychotherapy, 53 minutes with patient 3,231 2,599 $571K
90791 Psychiatric diagnostic evaluation 2,972 2,953 $516K
90832 Psychotherapy, 30 minutes with patient 2,750 2,238 $481K
90853 Group psychotherapy (other than of a multiple-family group) 2,582 1,100 $458K
H2017 Psychosocial rehabilitation services, per 15 minutes 998 179 $166K
Q3014 Telehealth originating site facility fee 6,932 6,349 $141K
99441 751 677 $129K
99442 744 668 $128K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 746 702 $124K
90792 Psychiatric diagnostic evaluation with medical services 553 541 $99K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 421 412 $66K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,652 1,158 $49K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 188 188 $31K
H2011 Crisis intervention service, per 15 minutes 134 129 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 67 66 $11K
0012A 37 36 $6K
83036 Hemoglobin; glycosylated (A1C) 659 645 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 87 84 $5K
0011A 29 29 $5K
87428 155 151 $4K
90847 Family psychotherapy with the patient present, 50 minutes 22 16 $4K
36415 Collection of venous blood by venipuncture 895 873 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 282 277 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 16 $3K
99443 15 14 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 13 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 63 45 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 12 $2K
99215 Prolong outpt/office vis 15 14 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 452 448 $2K
99173 59 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 106 71 $570.56
86703 30 30 $538.86
90715 100 100 $520.10
90688 169 169 $347.68
90686 45 44 $186.43
80061 Lipid panel 165 164 $183.39
87086 Culture, bacterial; quantitative colony count, urine 13 13 $166.64
36416 258 252 $51.12
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15 15 $0.00
81002 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 16 16 $0.00
84443 Thyroid stimulating hormone (TSH) 177 177 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 27 27 $0.00
80053 Comprehensive metabolic panel 322 318 $0.00
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 29 26 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64 62 $0.00
81001 25 25 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15 15 $0.00