Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$2.0K$4.0K2018201920202021202220232024
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
202020$2K
2021141$14K
2022155$13K
202391$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)