Counseling Abq

Counseling Abq was paid $2.30M by Medicaid between Jan 2018 and Sep 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 95% of everything it billed.

33Billing provider infoCOUNSELING ABQ
ALBUQUERQUE, NM 87110

33aNPI1336558782assigned 08/11/2014

33bProvider typeClinical Social Worker

28Total paid$2.30M

24GClaims20,570

24DCodes billed2

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Clinical Social Worker providers in New Mexico

Rank by total paid#11 of 171

Median peer was paid$68K

This provider vs. median34×

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 2 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
2018	2,804	$215K
2019	2,849	$258K
2020	2,327	$279K
2021	3,994	$467K
2022	4,318	$515K
2023	3,292	$423K
2024incomplete	986	$145K

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	95%	19,590	6,955	$2.19M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	4.8%	980	968	$110K

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 officialDECKER, DENISE (OWNER)