Supplier
Presbyterian Medical Services
Presbyterian Medical Services was paid $1.88M by Medicaid between Jan 2018 and Sep 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPRESBYTERIAN MEDICAL SERVICES
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1972670305assigned 11/29/2006
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$1.88M
24GClaims23,427
24DCodes billed36
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in New Mexico
Rank by total paid#7 of 19
Median peer was paid$1.05M
This provider vs. median1.8×
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 | 3,007 | $233K | |
| 2019 | 3,762 | $257K | |
| 2020 | 3,050 | $242K | |
| 2021 | 3,656 | $291K | |
| 2022 | 3,888 | $308K | |
| 2023 | 3,802 | $318K | |
| 2024incomplete | 2,262 | $234K |
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 | 44% | 6,120 | 5,254 | $832K |
| 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 | 29% | 4,578 | 4,092 | $556K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 1,130 | 1,038 | $175K |
| 99441 | 5.7% | 644 | 578 | $108K | |
| 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 | 3.1% | 2,207 | 1,661 | $58K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 2,155 | 2,090 | $34K |
| 99442 | 1.3% | 145 | 134 | $24K | |
| 0012A | 1.1% | 133 | 130 | $21K | |
| 0011A | <1% | 124 | 119 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,255 | 1,235 | $11K |
| 80053 | Comprehensive metabolic panel | <1% | 1,373 | 1,364 | $10K |
| 0013A | <1% | 41 | 41 | $7K |
24 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 386 | $6K |
| 99443 | <1% | 30 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 89 | $4K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 20 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 265 | $3K |
| 80061 | Lipid panel | <1% | 942 | $2K |
| 90686 | <1% | 204 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 314 | $1K |
| 82043 | <1% | 344 | $1K | |
| 86703 | <1% | 33 | $359.24 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 26 | $359.24 |
| 91301 | <1% | 83 | $179.62 | |
| G0008 | Administration of influenza virus vaccine | <1% | 34 | $35.46 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 37 | $31.52 |
| 82570 | 0% | 346 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 34 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 64 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 25 | $0.00 |
| 81001 | 0% | 18 | $0.00 | |
| 90688 | 0% | 151 | $0.00 | |
| 36416 | 0% | 25 | $0.00 | |
| 86780 | 0% | 13 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 27 | $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 | 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.