Medicaid Provider Spending

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

PRESBYTERIAN HEALTHCARE SERVICES

NPI: 1962488304 · TUCUMCARI, NM 88401 · Emergency Medicine Physician · NPI assigned 12/19/2005

$8.49M
Total Medicaid Paid
100,825
Total Claims
79,283
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMAXWELL, DALE (CFO)
NPI Enumeration Date12/19/2005

Related Entities

Other providers sharing the same authorized official: MAXWELL, DALE

ProviderCityStateTotal Paid
PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM $3.30M
PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM $1.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,066 $1.48M
2019 14,385 $1.04M
2020 5,457 $564K
2021 10,334 $775K
2022 14,825 $1.16M
2023 18,903 $1.79M
2024 15,855 $1.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 6,615 6,306 $1.73M
99284 Emergency department visit for the evaluation and management, high severity 4,233 3,918 $1.49M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,785 2,549 $1.34M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,674 2,035 $457K
74177 Computed tomography, abdomen and pelvis; with contrast material 537 525 $357K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,846 1,782 $294K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,880 2,466 $293K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,490 1,641 $265K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,668 2,392 $167K
96375 Therapeutic injection; each additional sequential IV push 2,077 1,797 $149K
71046 Radiologic examination, chest; 2 views 1,510 1,445 $143K
70450 Computed tomography, head or brain; without contrast material 451 436 $133K
99282 Emergency department visit for the evaluation and management, low to moderate severity 789 761 $127K
80053 Comprehensive metabolic panel 7,766 6,895 $127K
87631 638 619 $119K
71045 Radiologic examination, chest; single view 1,708 1,579 $115K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,484 1,156 $115K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 567 454 $99K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,925 6,131 $78K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 432 419 $76K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,432 2,081 $67K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,710 627 $65K
96361 Intravenous infusion, hydration; each additional hour 806 753 $53K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 374 306 $49K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,552 1,188 $46K
73562 312 283 $45K
84484 2,185 1,751 $39K
84443 Thyroid stimulating hormone (TSH) 1,090 1,065 $27K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,164 1,118 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 354 331 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 940 922 $21K
36415 Collection of venous blood by venipuncture 3,896 3,589 $21K
83690 1,933 1,774 $20K
73630 176 149 $19K
77067 Screening mammography, bilateral, including computer-aided detection 80 80 $17K
87086 Culture, bacterial; quantitative colony count, urine 1,528 1,426 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material 38 38 $17K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 267 252 $16K
80306 515 488 $15K
81001 2,359 2,203 $15K
73610 89 82 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 909 752 $14K
72110 77 76 $12K
83605 832 742 $12K
J3490 Unclassified drugs 2,550 1,190 $10K
73130 89 81 $9K
83880 272 253 $8K
81025 595 575 $7K
83735 891 834 $6K
83036 Hemoglobin; glycosylated (A1C) 542 537 $6K
85027 548 510 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 168 168 $6K
81003 940 906 $5K
82077 279 262 $5K
85610 678 599 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,170 970 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 27 27 $4K
80061 Lipid panel 253 250 $4K
87040 251 196 $4K
97161 77 69 $3K
87081 347 342 $3K
87077 283 261 $3K
84439 274 270 $3K
73030 27 25 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 150 146 $3K
80048 Basic metabolic panel (calcium, ionized) 180 172 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 920 862 $3K
86140 366 351 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 27 25 $2K
97162 24 24 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 13 12 $2K
77063 Screening digital breast tomosynthesis, bilateral 24 24 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 91 80 $2K
85379 101 98 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 17 17 $1K
36000 116 112 $1K
87186 104 93 $1K
73110 12 12 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 634 594 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24 24 $1K
85018 290 255 $976.95
96376 19 12 $942.14
82805 12 12 $875.19
J7120 Ringers lactate infusion, up to 1000 cc 192 180 $802.51
90715 25 25 $590.01
97035 28 13 $579.13
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 25 $487.22
87650 13 13 $413.45
82550 40 38 $397.96
84703 26 26 $358.87
87430 15 15 $340.71
82962 85 40 $292.32
85652 28 28 $220.89
J0780 Injection, prochlorperazine, up to 10 mg 34 33 $157.74
J2270 Injection, morphine sulfate, up to 10 mg 58 55 $129.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 15 $128.69
J3010 Injection, fentanyl citrate, 0.1 mg 84 75 $118.58
82043 13 12 $110.41
82570 13 12 $96.17
J1200 Injection, diphenhydramine hcl, up to 50 mg 34 34 $58.46
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 12 12 $8.79