Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pinwheel Healing Center LLC

Pinwheel Healing Center LLC was paid $5.28M by Medicaid between Feb 2018 and Dec 2024, across 15 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 41% of everything it billed.

33Billing provider infoPINWHEEL HEALING CENTER LLC
ALBUQUERQUE, NM 87111
33aNPI1154786275assigned 12/16/2015
28Total paid$5.28M
24GClaims40,038
24DCodes billed15
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in New Mexico

Rank by total paid#14 of 167
Median peer was paid$370K
This provider vs. median14×

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$100K$200K2018201920202021202220232024
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
2018302$24K
2019553$66K
20201,935$321K
20213,561$493K
202210,596$1.36M
202312,443$1.61M
2024incomplete10,648$1.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 41% 12,251 1,931 $2.16M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 27% 10,439 4,611 $1.40M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 20% 9,357 2,881 $1.03M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 4.1% 2,893 1,873 $215K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.5% 827 817 $132K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.4% 586 491 $73K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.3% 751 581 $68K
90853 Group psychotherapy (other than of a multiple-family group) 1.3% 1,904 670 $66K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.2% 470 321 $62K
H0038 Self-help/peer services, per 15 minutes <1% 381 175 $29K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 85 85 $13K
H2000 Comprehensive multidisciplinary evaluation <1% 17 17 $9K
3 more codes
H0031 Mental health assessment, by non-physician <1% 46 $8K
99204 Doctor's office visit, new patient (more involved) <1% 15 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 16 $1K

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 officialSUEHR, MARGARET (OWNER)