PETER NORMAN SMITH, PsyD

NPI 1508061169, individual, Santa Teresa, NM, Psychologist, Prescribing (Medical)

Evidence tier

informational

score 31 of 100, rank 11227, $474K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	PETER NORMAN SMITH, PsyD
Type	Individual, sole proprietor
Status	Active
NPI issued	June 15, 2007, last updated March 7, 2023
Practice location	101 LIVINGSTON LOOP STE 1, Santa Teresa, NM 88008-9753, 505-506-2546
Mailing address	60 BEACH ST, South Portland, ME 04106-1607
Specialties	Psychologist, Clinical (103TC0700X, license 1290 NM) Psychologist, Prescribing (Medical) (103TP0016X, license 0039C NM) Psychologist, Prescribing (Medical) (103TP0016X, primary, license PSY-RXP0053 NM)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
90792	Psychiatric diagnostic evaluation with medical services	$1.1M	57%	$137	$112 (top 5% from $313)	65th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$258K	13%	$95	$60 (top 5% from $133)	82nd percentile
Q3014	Telehealth originating site facility fee	$204K	11%	$28	$21 (top 5% from $84)	73rd percentile
90791	Psychiatric diagnostic evaluation	$147K	8%	$200	$105 (top 5% from $228)	93rd percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$143K	7%	$79	$44 (top 5% from $110)	88th percentile
90833	Psychotherapy with evaluation and management visit, 30 minutes	$34K	2%	$67	$49 (top 5% from $109)	74th percentile
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	$24K	1%	$43	$28 (top 5% from $147)	74th percentile
S9999	Medicaid service code	$5K	0%	$8.04	$5.43 (top 5% from $52)	63rd percentile

Medicare Part B 2024, largest codes

code	what it is	services	beneficiaries	paid	submitted per service	allowed per service	charge to allowed	usual for this code
90791	Psychiatric diagnostic evaluation	52	52	$4K	$250	$144	1.7x	1.9x (90th percentile 3.6x)

A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.

In this area

12 providers in Doña Ana County, NM carry an indicator in the public record, with $13.4M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	JOSE VELASQUEZ Anthony, NM, ranked 34	$265K	Listed on the CA Medicaid exclusion list since October 30, 2013. Medicaid still paid claims in 17 later months, $265,322 in total. and 1 more
3	NANCY MARSHALL Las Cruces, NM, ranked 1521	$12K	Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated. Medicaid paid $11,818 in the last 12 observed months.
3	EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC Las Cruces, NM, ranked 1522	$12K	Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated. Medicaid paid $11,818 in the last 12 observed months.
3	NEW MEXICO HEALTHCARE SERVICES, LLC Las Cruces, NM, ranked 3927	$0	Part of provider network D1-00062, ranked 62 nationally.
4	JAIME SANCHEZ Las Cruces, NM, ranked 7443	$5.3M	Hours beyond a day in 42 months, but with up to 835 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	OBIEFUNA OKOLI Las Cruces, NM, ranked 7597	$2.7M	Hours beyond a day in 4 months under one organization, which can be supervisory billing. Records needed. and 1 more
4	ALEKSANDR GAZAROV Santa Teresa, NM, ranked 7644	$2.3M	Hours beyond a day in 3 months under one organization, which can be supervisory billing. Records needed. and 1 more
4	ALYSE HOWARD Las Cruces, NM, ranked 9461	$208K	Hours beyond a day in 1 month, but with up to 100 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.

All 12 in NM

Recent enforcement in NM

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyJul 20, 2026

New Mexico Woman Pleads Guilty to $4M Medicaid Fraud

Irving, a driver for a non-emergency medical transportation company, submitted false trip records claiming she and her children were Medicaid beneficiaries without transportation and claiming trips that had not occurred, which the company used to submit fraudulent claims to New Mexico Medicaid.

DOJComplaint filedJun 23, 2026

National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud

A federal civil forfeiture complaint seeks more than $2 million in seized funds alleged to be proceeds of a scheme by Safeway Medical Transportation LLC to bill New Mexico Medicaid for non-emergency medical transportation trips that did not occur, drivers driving themselves to appointments, duplicate trips, inflated mileage, and falsified transportation records, and state charges were filed against a McKinley County man for using forged prescriptions to obtain Schedule II controlled substances from a pharmacy.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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