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 Healthcare Services (NPI 1932400397)

Field	Value
Entity Type	Organization
Organization	Presbyterian Healthcare Services
Address	4580 Paradise Blvd Nw
City	Albuquerque
State	NM
ZIP	87114
Taxonomy	Specialty Pharmacy
NPI Enumerated	November 16, 2010

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	900	$2,350	$2.1M
J2357	Injection, omalizumab, 5 mg	1,230	$1,630	$2M
J0585	Injection, onabotulinumtoxina, 1 unit	2,140	$620	$1.3M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	2,820	$400	$1.1M
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	610	$1,330	$812.8K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	1,140	$430	$494.9K
J2778	Injection, ranibizumab, 0.1 mg	220	$1,850	$409.3K
J0897	Injection, denosumab, 1 mg	200	$840	$169.9K
J2315	Injection, naltrexone, depot form, 1 mg	100	$1,130	$108.9K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	40	$2,060	$74.2K

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 Healthcare Services — 4 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	10	2,470	$1,650	$4.1M
J0178	Injection, aflibercept, 1 mg	2	10	480	$1,280	$3.2M
J0585	Injection, onabotulinumtoxina, 1 unit	6	20	810	$520	$1.6M
J2357	Injection, omalizumab, 5 mg	1	10	1,200	$1,770	$1.4M
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	1	10	550	$1,310	$721.7K
J2778	Injection, ranibizumab, 0.1 mg	3	10	380	$900	$408.7K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	2	10	990	$280	$373.9K
J0897	Injection, denosumab, 1 mg	4	10	200	$640	$196.2K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1	10	40	$2,060	$74.2K
J2315	Injection, naltrexone, depot form, 1 mg	1	10	60	$890	$54.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$31.2M
Laura Veal	NM	Speech-Language Pathologist	$0	$31M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$25M
Onyx Supportive Living LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.3M
A Center For Function And Creativity	NM	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Tasker, Hatch, Rowan, LLC	NM	Pediatric Dentistry	$0	$4.5M
Joyce Jeffries	NM	Oral and Maxillofacial Surgery (Dentist)	$0	$4.3M
Angel Touch Personal Care, Inc.	NM	Home Health Agency	$0	$3.8M
Home Medical Equipment Specialists LLC	NM	Home Infusion Therapy Pharmacy	$0	$3.7M
Making An Impact LLC	NM	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.5M

Presbyterian Healthcare Services — Billing Profile & Reimbursement Data

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Presbyterian Healthcare 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

Nearby Providers

Frequently Asked Questions

References