ALBUQUERQUE GUIDANCE CENTER
NPI: 1427467547
· ALBUQUERQUE, NM 87105
· Mental Health Counselor
· NPI assigned 08/04/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$2.89M
Total Medicaid Paid
6,555
Beneficiary Records
Provider Details
| Authorized Official | LOPEZ, CHARMAINE (CEO/CLINICAL DIRECTOR) |
| NPI Enumeration Date | 08/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,036 |
$155K |
| 2019 |
2,406 |
$208K |
| 2020 |
3,326 |
$406K |
| 2021 |
4,070 |
$478K |
| 2022 |
3,883 |
$459K |
| 2023 |
4,510 |
$598K |
| 2024 |
3,934 |
$589K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
24,056 |
6,505 |
$2.88M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
95 |
36 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$2K |