Medicaid Provider Spending

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

PRESBYTERIAN MEDICAL SERVICES

NPI: 1912016734 · ESTANCIA, NM 87016 · Non-Pharmacy Dispensing Site · NPI assigned 08/29/2006

$2.31M
Total Medicaid Paid
16,242
Total Claims
14,236
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, ROBERTA (CFO)
NPI Enumeration Date08/29/2006

Related Entities

Other providers sharing the same authorized official: LEE, ROBERTA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,826 $275K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,104 3,659 $660K
D0999 Unspecified diagnostic procedure, by report 2,948 2,713 $567K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,465 3,098 $529K
90834 Psychotherapy, 45 minutes with patient 1,197 836 $199K
90837 Psychotherapy, 53 minutes with patient 788 475 $139K
99441 329 312 $54K
99442 272 252 $43K
Q3014 Telehealth originating site facility fee 275 148 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 127 125 $19K
0011A 95 95 $16K
H2015 Comprehensive community support services, per 15 minutes 91 51 $15K
0012A 78 77 $13K
90832 Psychotherapy, 30 minutes with patient 57 42 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 42 $7K
91301 55 55 $4K
99215 Prolong outpt/office vis 24 24 $4K
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 96 69 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $2K
0013A 14 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 67 63 $807.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 202 201 $718.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 166 164 $568.56
36415 Collection of venous blood by venipuncture 808 787 $530.17
80053 Comprehensive metabolic panel 435 430 $346.26
90686 88 88 $2.44
99173 15 15 $0.00
80061 Lipid panel 80 80 $0.00
D1120 Prophylaxis - child 13 13 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 111 111 $0.00
90688 93 93 $0.00
84443 Thyroid stimulating hormone (TSH) 40 40 $0.00
D0120 Periodic oral evaluation - established patient 41 41 $0.00