NP / PA
Umoja Behavioral Health PC
Umoja Behavioral Health PC was paid $1.04M by Medicaid between Jul 2019 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.
33Billing provider infoUMOJA BEHAVIORAL HEALTH PC
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1063989648assigned 11/01/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$1.04M
24GClaims8,390
24DCodes billed2
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New Mexico
Rank by total paid#11 of 73
Median peer was paid$90K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.
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 | 60 | $4K | |
| 2020 | 1,348 | $163K | |
| 2021 | 1,195 | $146K | |
| 2022 | 1,186 | $146K | |
| 2023 | 1,834 | $216K | |
| 2024incomplete | 2,767 | $369K |
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 | 100% | 8,371 | 3,017 | $1.04M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 19 | 18 | $2K |
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 officialWINFREY, KENNETH (OWNER)