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PRESBYTERIAN MEDICAL SERVICES

Clinic/Center, Federally Qualified Health Center (FQHC)·FARMINGTON, NM·NPI: 1285646455Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$41.2M

$41,173,707

Total Claims

298K

Beneficiaries

206K

1.5 claims/patient

Avg Cost/Claim

$138

Monthly Spending Trend

Yearly Spending

2018
$5.2M
-16%
2019
$4.4M
+31%
2020
$5.8M
+21%
2021
$7.0M
+3%
2022
$7.2M
-9%
2023
$6.5M
-22%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 19% of total spending.

90853Top 5%

Group psychotherapy

$7.9M

46K claims · 19.2%

Your Cost: $173.69/claim|Median: $25.02
6.9× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$7.4M

51K claims · 18.0%

Your Cost: $146.24/claim|Median: $37.81
3.9× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$6.0M

41K claims · 14.6%

Your Cost: $147.16/claim|Median: $53.41
2.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.5M

26K claims · 11.0%

Your Cost: $170.98/claim|Median: $96.24
1.8× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.8M

14K claims · 6.7%

Your Cost: $196.13/claim|Median: $101.33
1.9× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$2.4M

14K claims · 5.9%

Your Cost: $176.13/claim|Median: $91.63
1.9× median
90834Top 5%

Psychotherapy, 45 minutes

$2.1M

12K claims · 5.1%

Your Cost: $175.35/claim|Median: $63.65
2.8× median
90832Top 5%

Psychotherapy, 30 minutes

$1.6M

9,160 claims · 3.8%

Your Cost: $170.48/claim|Median: $41.28
4.1× median
90837Top 5%

Psychotherapy, 60 minutes

$1.3M

7,635 claims · 3.2%

Your Cost: $173.32/claim|Median: $85.66
2.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$787K

4,627 claims · 1.9%

Your Cost: $170.08/claim|Median: $99.21
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$687K

4,312 claims · 1.7%

Your Cost: $159.39/claim|Median: $25.06
6.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$409K

2,499 claims · 1.0%

Your Cost: $163.60/claim|Median: $22.44
7.3× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$398K

2,501 claims · 1.0%

Your Cost: $159.20/claim|Median: $13.30
12.0× median
G0467Normal range

Federally qualified health center visit, mental health

$376K

13K claims · 0.9%

Your Cost: $29.02/claim|Median: $21.91
1.3× median
Q3014Top 5%

Telehealth originating site facility fee

$323K

5,037 claims · 0.8%

Your Cost: $64.17/claim|Median: $15.37
4.2× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$310K

1,974 claims · 0.8%

Your Cost: $157.26/claim|Median: $57.85
2.7× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$238K

1,446 claims · 0.6%

Your Cost: $164.66/claim|Median: $108.91
1.5× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$192K

1,152 claims · 0.5%

Your Cost: $166.93/claim|Median: $32.55
5.1× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$154K

954 claims · 0.4%

Your Cost: $161.53/claim|Median: $84.03
1.9× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$145K

929 claims · 0.4%

Your Cost: $155.85/claim|Median: $74.82
2.1× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$127K

839 claims · 0.3%

Your Cost: $151.55/claim|Median: $80.15
1.9× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$104K

665 claims · 0.3%

Your Cost: $156.00/claim|Median: $40.11
3.9× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$94K

591 claims · 0.2%

Your Cost: $159.84/claim|Median: $25.93
6.2× median
99215Top 10%

Office/outpatient visit, high complexity

$76K

455 claims · 0.2%

Your Cost: $167.05/claim|Median: $74.09
2.3× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$73K

446 claims · 0.2%

Your Cost: $162.98/claim|Median: $33.85
4.8× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$64K

2,054 claims · 0.2%

Your Cost: $30.92/claim|Median: $17.85
1.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$59K

349 claims · 0.1%

Your Cost: $170.00/claim|Median: $72.71
2.3× median
G2025Top 25%

$53K

1,063 claims · 0.1%

Your Cost: $49.85/claim|Median: $15.63
3.2× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$52K

315 claims · 0.1%

Your Cost: $164.33/claim|Median: $76.06
2.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$50K

384 claims · 0.1%

Your Cost: $130.74/claim|Median: $75.18
1.7× median
H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$42K

270 claims · 0.1%

Your Cost: $156.34/claim|Median: $227.82
0.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$35K

3,033 claims · 0.1%

Your Cost: $11.62/claim|Median: $9.80
1.2× median
96110Top 10%

Developmental screening, per standardized instrument

$28K

877 claims · 0.1%

Your Cost: $32.20/claim|Median: $9.10
3.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$25K

3,524 claims · 0.1%

Your Cost: $7.19/claim|Median: $5.50
1.3× median
91300Top 1%

COVID-19 vaccine (Pfizer), first dose

$24K

180 claims · 0.1%

Your Cost: $131.19/claim|Median: $0.01
13119.0× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$23K

231 claims · 0.1%

Your Cost: $98.14/claim|Median: $33.72
2.9× median
D9995Top 1%

$17K

190 claims · 0.0%

Your Cost: $91.57/claim|Median: $13.12
7.0× median
0072ATop 5%

$14K

105 claims · 0.0%

Your Cost: $136.85/claim|Median: $39.57
3.5× median
0071ATop 5%

$14K

114 claims · 0.0%

Your Cost: $119.75/claim|Median: $38.71
3.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

2,775 claims · 0.0%

Your Cost: $4.36/claim|Median: $7.18
0.6× median
D0140Top 10%

Limited oral evaluation, problem focused

$11K

221 claims · 0.0%

Your Cost: $48.07/claim|Median: $27.07
1.8× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$11K

121 claims · 0.0%

Your Cost: $87.54/claim|Median: $11.35
7.7× median
0013ATop 5%

$10K

76 claims · 0.0%

Your Cost: $137.08/claim|Median: $35.38
3.9× median
91307Top 1%

$10K

56 claims · 0.0%

Your Cost: $170.00/claim|Median: $0.01
16999.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$9K

621 claims · 0.0%

Your Cost: $14.20/claim|Median: $39.63
0.4× median
91301

COVID-19 vaccine (Moderna), first dose

$7K

132 claims · 0.0%

0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$6K

100 claims · 0.0%

Your Cost: $62.25/claim|Median: $36.70
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$5K

2,413 claims · 0.0%

Your Cost: $2.28/claim|Median: $1.57
1.5× median
H0048Normal range

$5K

3,278 claims · 0.0%

Your Cost: $1.64/claim|Median: $13.25
0.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$5K

576 claims · 0.0%

Your Cost: $9.20/claim|Median: $37.56
0.2× median

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$345.5M

Presbyterian Healthcare Services

Surgery

$240.2M

DHHS PHS Naihs Shiprock Hospital

General Acute Care Hospital

$190.6M

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Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

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$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

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