Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
ESTANCIA, NM 87016
ESTANCIA, NM 87016
33aNPI1912016734assigned 08/29/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$2.31M
24GClaims16,242
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#6 of 19
Median peer was paid$1.05M
This provider vs. median2.2×
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 | 2,482 | $345K | |
| 2019 | 2,139 | $301K | |
| 2020 | 2,123 | $326K | |
| 2021 | 3,010 | $414K | |
| 2022 | 2,515 | $343K | |
| 2023 | 2,147 | $307K | |
| 2024incomplete | 1,826 | $275K |
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 | 29% | 4,104 | 3,659 | $660K |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 2,948 | 2,713 | $567K |
| 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 | 23% | 3,465 | 3,098 | $529K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.6% | 1,197 | 836 | $199K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.0% | 788 | 475 | $139K |
| 99441 | 2.4% | 329 | 312 | $54K | |
| 99442 | 1.9% | 272 | 252 | $43K | |
| Q3014 | Telehealth originating site facility fee | 1.1% | 275 | 148 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 127 | 125 | $19K |
| 0011A | <1% | 95 | 95 | $16K | |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 91 | 51 | $15K |
| 0012A | <1% | 78 | 77 | $13K |
21 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 57 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $7K |
| 91301 | <1% | 55 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 96 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $2K |
| 0013A | <1% | 14 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 67 | $807.12 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 202 | $718.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 166 | $568.56 |
| 36415 | Collection of venous blood by venipuncture | <1% | 808 | $530.17 |
| 80053 | Comprehensive metabolic panel | <1% | 435 | $346.26 |
| 90686 | <1% | 88 | $2.44 | |
| 99173 | 0% | 15 | $0.00 | |
| 80061 | Lipid panel | 0% | 80 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 13 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 111 | $0.00 |
| 90688 | 0% | 93 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 40 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 41 | $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 | 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.