Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

The Refinery Integrated Wellness Services Marriage and Family Thera

The Refinery Integrated Wellness Services Marriage and Family Thera was paid $1.29M by Medicaid between Jul 2018 and Nov 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 95% of everything it billed.

33Billing provider infoTHE REFINERY INTEGRATED WELLNESS SERVICES MARRIAGE AND FAMILY THERA
PALM DESERT, CA 92260
33aNPI1326584731assigned 01/09/2017
28Total paid$1.29M
24GClaims12,929
24DCodes billed3
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Marriage & Family Therapist providers in California

Rank by total paid#56 of 1,717
Median peer was paid$66K
This provider vs. median20×

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 Concentration95% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
201858$6K
20191,115$125K
20203,061$316K
20212,497$254K
20221,560$160K
20232,205$204K
2024incomplete2,433$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 95% 10,121 3,619 $1.22M
90853 Group psychotherapy (other than of a multiple-family group) 4.8% 2,761 1,050 $62K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 47 47 $6K

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 officialSANCHEZ, JESSICA (OWNER)
Same official

Other billing entities under SANCHEZ, JESSICA

Full network →
ProviderLocationPaid
Sunrise Medical Group, PCSanta Rosa, NM$2.01M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.