Behavioral
Riquelme, Claudia
Riquelme, Claudia was paid $2.41M by Medicaid between Oct 2021 and Aug 2023, across 4 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 57% of everything it billed.
33Billing provider infoRIQUELME, CLAUDIA
LAGUNA HILLS, CA 92656
LAGUNA HILLS, CA 92656
33aNPI1023436797assigned 03/31/2014
33bProvider typeBehavioral Analyst
28Total paid$2.41M
24GClaims21,380
24DCodes billed4
24AFirst – last monthOct 2021 – Aug 2023
Compared with peers
Next to other Behavioral Analyst providers in California
Rank by total paid#77 of 385
Median peer was paid$476K
This provider vs. median5.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 3,575 | $377K | |
| 2022 | 11,643 | $1.27M | |
| 2023 | 6,162 | $768K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 57% | 12,267 | 1,158 | $1.36M |
| H0032 | Mental health service plan development by non-physician | 25% | 4,872 | 1,191 | $601K |
| S5110 | Home care training, family; per 15 minutes | 18% | 4,189 | 1,141 | $439K |
| H0031 | Mental health assessment, by non-physician | <1% | 52 | 12 | $9K |
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.