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 1477975688)

Field	Value
Entity Type	Organization
Organization	Presbyterian Medical Services
Address	2300 Grande Blvd Se
City	Rio Rancho
State	NM
ZIP	87124
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 8, 2014

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 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…	9,910	$160	$1.6M
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…	10,030	$160	$1.6M
D0999	N/A	4,160	$190	$793.6K
H2015	Comprehensive community support services, per 15 minutes	3,310	$170	$569.5K
99441	N/A	1,650	$150	$243.5K
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…	1,090	$170	$183.4K
H0049	Alcohol and/or drug screening	3,950	$30	$122.3K
99442	N/A	780	$160	$121.5K
99203	The provider sees a new 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 provider…	540	$160	$83.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	400	$150	$59.3K

Showing 1–10 of 44

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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	60	120	2,640	$150	$1.2M
D0999	N/A	30	80	2,250	$190	$987.3K
Q3014	Telehealth originating site facility fee	94	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…	119	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…	98	960	1,010	$90	$490K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	151	380	220	$160	$273.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	70	100	2,650	$10	$265.6K
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…	122	380	400	$80	$213.5K
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…	243	290	470	$70	$161.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	223	320	220	$110	$146.2K

Showing 1–10 of 44

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	$9.2M
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

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
Four Winds Behavioral Health, Inc.	NM	Community/Behavioral Health Agency	$0	$38.2M
Amazing Grace Personal Care Service, Inc	NM	In Home Supportive Care Agency	$0	$27.3M
Red Mountain Family Services, Inc.	NM	Foster Care Agency	$0	$22.7M
Phi Health, LLC	NM	Air Ambulance	$1.5M	$10.9M
Robben R. Gingery, Md, LLC	NM	Geriatric Psychiatry Physician	$0	$10.6M
Re-cycled Man LLC	NM	Community/Behavioral Health Agency	$0	$8M
New Mexico Wellness	NM	Community/Behavioral Health Agency	$0	$7.1M
Pinwheel Healing Center, LLC	NM	Community/Behavioral Health Agency	$0	$5.3M
Gd Psych Services, LLC	NM	Psychologist	$0	$4M
Kb Personal Care Services, LLC	NM	Home Health Agency	$0	$3.7M

Presbyterian Medical Services — Billing Profile & Reimbursement Data

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Presbyterian Medical Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References