Clinic
Presbyterian Medical Services
Presbyterian Medical Services was paid $9.93M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1871505032assigned 08/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.93M
24GClaims77,293
24DCodes billed65
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#12 of 80
Median peer was paid$1.11M
This provider vs. median8.9×
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
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 | 11,969 | $1.59M | |
| 2019 | 10,280 | $1.30M | |
| 2020 | 9,766 | $1.46M | |
| 2021 | 11,886 | $1.60M | |
| 2022 | 9,629 | $1.22M | |
| 2023 | 13,887 | $1.60M | |
| 2024incomplete | 9,876 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 20,832 | 19,035 | $3.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 10,238 | 9,365 | $1.62M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 7,958 | 5,084 | $1.31M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 9.6% | 5,464 | 2,781 | $949K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.2% | 2,972 | 1,036 | $517K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.2% | 2,975 | 1,854 | $516K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 1,259 | 1,043 | $214K |
| D0999 | Unspecified diagnostic procedure, by report | 2.1% | 1,052 | 856 | $212K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 1,233 | 1,221 | $206K |
| 99441 | 2.0% | 1,145 | 1,081 | $196K | |
| 99442 | 1.7% | 1,000 | 966 | $172K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 774 | 751 | $133K |
53 more codes
| Q3014 | Telehealth originating site facility fee | 1.2% | 1,718 | $116K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 641 | $98K |
| G0467 | Community health center visit, returning patient | <1% | 2,397 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 334 | $53K |
| H0049 | Alcohol and/or drug screening | <1% | 1,986 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 209 | $33K |
| 99443 | <1% | 172 | $29K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 149 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 161 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 150 | $24K |
| 99408 | <1% | 116 | $23K | |
| 91300 | <1% | 163 | $21K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 378 | $18K |
| 0011A | <1% | 104 | $17K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 118 | $16K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,731 | $13K |
| 0012A | <1% | 105 | $12K | |
| 0001A | <1% | 130 | $9K | |
| 91301 | <1% | 40 | $6K | |
| 0071A | <1% | 43 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 879 | $6K |
| 0072A | <1% | 33 | $5K | |
| 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% | 211 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 737 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 701 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 497 | $3K |
| 0002A | <1% | 73 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $2K |
| 0031A | <1% | 12 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,182 | $1K |
| 86703 | <1% | 500 | $542.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,165 | $520.10 |
| 81002 | <1% | 16 | $499.92 | |
| 80061 | Lipid panel | <1% | 1,007 | $359.24 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 16 | $201.78 |
| 90686 | <1% | 315 | $189.25 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 109 | $179.62 |
| 88142 | <1% | 36 | $173.84 | |
| 90715 | <1% | 179 | $29.83 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 48 | $0.00 |
| 91322 | 0% | 17 | $0.00 | |
| 82570 | 0% | 14 | $0.00 | |
| 81025 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 86803 | 0% | 273 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 108 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 105 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 12 | $0.00 |
| 90688 | 0% | 202 | $0.00 | |
| 90656 | 0% | 20 | $0.00 | |
| 82043 | 0% | 14 | $0.00 | |
| 87428 | 0% | 16 | $0.00 | |
| 86780 | 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 officialLEE, ROBERTA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Presbyterian Medical Services | Deming, NM | $4.76M |
| Presbyterian Medical Services | Chaparral, NM | $2.84M |
| Presbyterian Medical Services | Estancia, NM | $2.31M |
| Presbyterian Medical Services | Gallup, NM | $1.88M |
| Presbyterian Medical Services | Magdalena, NM | $813K |
| Presbyterian Medical Services | Loving, NM | $796K |
| Presbyterian Medical Services | Cerrillos, NM | $275K |
| Attenda Medical Group INC | Santa Rosa, CA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.