Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $796K by Medicaid between Jan 2018 and Sep 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
LOVING, NM 88256
LOVING, NM 88256
33aNPI1891874343assigned 11/03/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$796K
24GClaims8,107
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#14 of 19
Median peer was paid$1.05M
This provider vs. median0.8×
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 | 2,346 | $147K | |
| 2019 | 860 | $39K | |
| 2020 | 486 | $41K | |
| 2021 | 840 | $86K | |
| 2022 | 1,326 | $177K | |
| 2023 | 1,565 | $212K | |
| 2024incomplete | 684 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 2,495 | 2,148 | $314K |
| 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 | 34% | 2,468 | 2,145 | $273K |
| D0999 | Unspecified diagnostic procedure, by report | 23% | 842 | 699 | $180K |
| G0467 | Community health center visit, returning patientFederally 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 | 2.7% | 1,265 | 869 | $22K |
| 99441 | <1% | 30 | 28 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 21 | 20 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 71 | 71 | $173.84 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 151 | 148 | $19.70 |
| 90688 | <1% | 92 | 92 | $6.60 | |
| 80061 | Lipid panel | 0% | 24 | 24 | $0.00 |
| 84439 | 0% | 39 | 38 | $0.00 | |
| 82570 | 0% | 12 | 12 | $0.00 |
15 more codes
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 15 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 13 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 13 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 255 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 82 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 39 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 40 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 49 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 12 | $0.00 |
| 82043 | 0% | 12 | $0.00 | |
| 87428 | 0% | 14 | $0.00 | |
| 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 | 0% | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 14 | $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 | Rio Rancho, NM | $9.93M |
| 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 | 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.