Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Presbyterian Medical Services (NPI 1295849933)

Field	Value
Entity Type	Organization
Organization	Presbyterian Medical Services
Address	2013 San Jose Blvd
City	Carlsbad
State	NM
ZIP	88220
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	19,520	$140	$2.7M
H2015	Comprehensive community support services, per 15 minutes	12,720	$180	$2.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	14,140	$130	$1.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,880	$180	$518.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,880	$170	$325.1K
Q3014	Telehealth originating site facility fee	8,280	$30	$223.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,150	$180	$206.6K
99441	N/A	1,090	$170	$183.4K
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…	7,370	$20	$162.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	830	$170	$142.4K

Showing 1–10 of 68

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Presbyterian Medical Services — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	20	120	2,640	$150	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	22	30	3,760	$140	$1.1M
Q3014	Telehealth originating site facility fee	20	180	620	$160	$546.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	85	930	910	$80	$521.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	42	960	1,010	$90	$490K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	42	40	7,150	$40	$485.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	99	100	1,100	$110	$362K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	513	920	860	$120	$361.9K
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…	27	50	530	$90	$323.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	104	120	670	$110	$301.2K

Showing 1–10 of 68

Related Providers

Other providers that share a Tax Identification Number (TIN) with Presbyterian Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$41.2M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$16.4M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$13.3M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$10.3M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$9.9M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$8.2M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$7.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$7.4M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$5.6M

Nearby Providers

Other providers in the same ZIP code as Presbyterian Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlsbad Medical Center LLC	NM	General Acute Care Hospital	$0	$26.4M
Pecos Valley Of New Mexico, LLC	NM	General Practice Physician	$0	$6.4M
Carlsbad Lifehouse Inc	NM	Community/Behavioral Health Agency	$0	$4.5M
Carc, Inc.	NM	Community/Behavioral Health Agency	$0	$4.3M
Caring Angels, LLC	NM	Home Infusion Agency	$0	$3.9M
Raney Pediatrics	NM	Pediatrics Physician	$0	$3.4M
Familia Dental Carlsbad LLC	NM	General Practice Dentistry	$0	$2.5M
City Of Carlsbad	NM	Land Ambulance	$390.4K	$1.3M
Michael Lim	NM	Ophthalmology Physician	$75K	$1.6M
Carlsbad Physical Therapy & Wellness Center, LLC	NM	Physical Therapist	$0	$1.6M

Presbyterian Medical Services — Billing Profile & Reimbursement Data

Sign up for Presbyterian Medical Services — Billing Profile & Reimbursement Data policy alerts

Presbyterian Medical Services — Billing Profile & Reimbursement Data

Sign up for Presbyterian Medical Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References