Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

4 Directions Integrative Mental Health, LLC

4 Directions Integrative Mental Health, LLC was paid $850K by Medicaid between Dec 2020 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider info4 DIRECTIONS INTEGRATIVE MENTAL HEALTH, LLC
LAS CRUCES, NM 88005
33aNPI1013559038assigned 10/10/2019
33bProvider typeClinical Social Worker
28Total paid$850K
24GClaims6,809
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Clinical Social Worker providers in New Mexico

Rank by total paid#15 of 171
Median peer was paid$68K
This provider vs. median12×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202044$5K
2021513$58K
20221,630$184K
20232,677$331K
2024incomplete1,945$273K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 100% 6,778 2,457 $847K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 31 29 $4K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMIRABAL, ANNETTE (PARTNER)