Aquila, Frank
Aquila, Frank was paid $1.39M by Medicaid between Apr 2022 and Oct 2024, across 1 billing code. Its largest line is T2025, waiver services not otherwise specified — 100% of everything it billed.
33Billing provider infoAQUILA, FRANK
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1306507470assigned 12/31/2021
33bProvider typeCase Manager/Care Coordinator
28Total paid$1.39M
24GClaims4,195
24DCodes billed1
24AFirst – last monthApr 2022 – Oct 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in New Mexico
Rank by total paid#5 of 12
Median peer was paid$476K
This provider vs. median2.9×
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 T2025 with only 1 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 | |
|---|---|---|---|
| 2022 | 909 | $282K | |
| 2023 | 1,746 | $588K | |
| 2024incomplete | 1,540 | $522K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 100% | 4,195 | 3,856 | $1.39M |
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.