Behavioral
Albuquerque Health Services
Albuquerque Health Services was paid $35.37M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 85% of everything it billed.
33Billing provider infoALBUQUERQUE HEALTH SERVICES
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
33aNPI1245554419assigned 03/17/2010
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$35.37M
24GClaims197,694
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in New Mexico
Rank by total paid#2 of 42
Median peer was paid$270K
This provider vs. median131×
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 | |
|---|---|---|---|
| 2018 | 14,496 | $1.40M | |
| 2019 | 17,114 | $2.56M | |
| 2020 | 29,470 | $4.48M | |
| 2021 | 34,147 | $5.97M | |
| 2022 | 37,432 | $7.03M | |
| 2023 | 34,409 | $7.30M | |
| 2024incomplete | 30,626 | $6.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 85% | 156,536 | 65,942 | $30.03M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 8.1% | 27,264 | 27,027 | $2.86M |
| H2000 | Comprehensive multidisciplinary evaluation | 3.4% | 2,261 | 2,238 | $1.21M |
| 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 | 1.6% | 4,782 | 4,292 | $580K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.5% | 3,785 | 3,779 | $547K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,621 | 1,609 | $107K |
| H0031 | Mental health assessment, by non-physician | <1% | 122 | 121 | $16K |
| Q3014 | Telehealth originating site facility fee | <1% | 875 | 859 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 86 | 59 | $9K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 167 | 39 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 15 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 15 | 14 | $1K |
1 more codes
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 0% | 165 | $0.00 |
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 officialWILSON, SIVAN (CEO)