Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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UMOJA BEHAVIORAL HEALTH PC

NPI: 1063989648 · ALBUQUERQUE, NM 87110 · Family Nurse Practitioner · NPI assigned 11/01/2018

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$1.04M
Total Medicaid Paid
8,390
Total Claims
3,035
Beneficiaries
2
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINFREY, KENNETH (OWNER)
NPI Enumeration Date11/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 60 $4K
2020 1,348 $163K
2021 1,195 $146K
2022 1,186 $146K
2023 1,834 $216K
2024 2,767 $369K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 8,371 3,017 $1.04M
90791 Psychiatric diagnostic evaluation 19 18 $2K