NP / PA
Sparkman Behavioral Health, P. C.
Sparkman Behavioral Health, P. C. was paid $678K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSPARKMAN BEHAVIORAL HEALTH, P. C.
ROSWELL, NM 88201
ROSWELL, NM 88201
33aNPI1396182838assigned 05/23/2013
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$678K
24GClaims11,942
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in New Mexico
Rank by total paid#6 of 32
Median peer was paid$106K
This provider vs. median6.4×
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
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 | 2,525 | $117K | |
| 2019 | 1,556 | $76K | |
| 2020 | 1,249 | $75K | |
| 2021 | 1,506 | $96K | |
| 2022 | 2,091 | $117K | |
| 2023 | 1,652 | $100K | |
| 2024incomplete | 1,363 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 5,654 | 5,104 | $313K |
| 90836 | 42% | 4,620 | 4,170 | $283K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.1% | 1,381 | 1,327 | $62K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.0% | 287 | 286 | $20K |
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 officialSPARKMAN, LORETTA (PRESIDENT)