Behavioral
Pupfish LLC
Pupfish LLC was paid $2.49M by Medicaid between May 2019 and Dec 2024, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 41% of everything it billed.
33Billing provider infoPUPFISH LLC
EL PASO, TX 79912
EL PASO, TX 79912
33aNPI1023587334assigned 11/15/2018
33bProvider typeProfessional Counselor
28Total paid$2.49M
24GClaims23,408
24DCodes billed6
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Texas
Rank by total paid#14 of 854
Median peer was paid$56K
This provider vs. median44×
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 | |
|---|---|---|---|
| 2019 | 1,680 | $163K | |
| 2020 | 3,120 | $350K | |
| 2021 | 4,088 | $451K | |
| 2022 | 5,609 | $580K | |
| 2023 | 4,871 | $509K | |
| 2024incomplete | 4,040 | $438K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 41% | 8,349 | 3,940 | $1.02M |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 24% | 5,740 | 3,084 | $603K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 18% | 4,442 | 1,843 | $442K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 3,637 | 1,920 | $321K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 841 | 493 | $58K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 399 | 394 | $54K |
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 officialCARLSON, JOSEPH (OWNER/LPC)