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 1518910553)

Field	Value
Entity Type	Organization
Organization	Presbyterian Medical Services
Address	1422 Paseo De Peralta
City	Santa Fe
State	NM
ZIP	87501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$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.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9001	Coordinated care fee, initial rate	7,180	$230	$1.7M
Q3014	Telehealth originating site facility fee	8,460	$20	$194.5K
D0999	N/A	3,170	$30	$104.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	380	$90	$35K
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…	1,010	$30	$26.2K
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…	140	$30	$3.7K
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…	20	$90	$1.4K
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,…	30	$20	$590
H2015	Comprehensive community support services, per 15 minutes	120	$1	$120
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…	40	$0	$0

Showing 1–10 of 18

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 — 0 of 9 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9001	Coordinated care fee, initial rate	5	20	730	$320	$4M
H2015	Comprehensive community support services, per 15 minutes	100	120	2,640	$150	$1.2M
D0999	N/A	35	80	2,250	$190	$987.3K
Q3014	Telehealth originating site facility fee	19	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…	700	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…	482	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,…	313	380	220	$160	$273.9K
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…	372	380	400	$80	$213.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	132	190	970	$40	$189.7K
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…	247	290	470	$70	$161.5K

Showing 1–10 of 18

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
Ececd-families First	NM	Case Management Agency	$0	$10.4M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$9.1M
City Of Santa Fe Payroll	NM	Land Ambulance	$773.5K	$4.3M
Cross Non-emergency Medical Transportation LLC	NM	Non-emergency Medical Transport (VAN)	$0	$4M
Taos Comprehensive Health Corporation	NM	Urgent Care Clinic/Center	$0	$1.7M
Cvs Pharmacy Inc	NM	Pharmacy	$200.3K	$0
Lesa Fraker	NM	Emergency Medicine Physician	$144K	$0
Christine Varga	NM	Primary Care Nurse Practitioner	$74.1K	$0
Jeffrey Ross	NM	Psychiatry Physician	$70K	$0
Marci Crawford	NM	Family Medicine Physician	$60K	$0

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