Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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COUNSELING ABQ

NPI: 1336558782 · ALBUQUERQUE, NM 87110 · Clinical Social Worker · NPI assigned 08/11/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$2.30M
Total Medicaid Paid
20,570
Total Claims
7,923
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDECKER, DENISE (OWNER)
NPI Enumeration Date08/11/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 986 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 19,590 6,955 $2.19M
90791 Psychiatric diagnostic evaluation 980 968 $110K