Behavioral
Or Factor
Or Factor was paid $35K by Medicaid between Sep 2020 and Apr 2023, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 77% of everything it billed.
33Billing provider infoOR FACTOR
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1285177675assigned 12/02/2016
33bProvider typeClinical Social Worker
28Total paid$35K
24GClaims407
24DCodes billed2
24AFirst – last monthSep 2020 – Apr 2023
Compared with peers
Next to other Clinical Social Worker providers in New Mexico
Rank by total paid#102 of 171
Median peer was paid$68K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 20 | $2K | |
| 2021 | 141 | $14K | |
| 2022 | 155 | $13K | |
| 2023 | 91 | $6K |
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 | 77% | 279 | 194 | $27K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 23% | 128 | 103 | $8K |
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 officialBYRNE, KIMBERLY (OWNER)