Rio Grande Counseling & Guidance Services, PA

Rio Grande Counseling & Guidance Services, PA was paid $9.87M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 62% of everything it billed.

33Billing provider infoRIO GRANDE COUNSELING & GUIDANCE SERVICES, PA
ALBUQUERQUE, NM 87102

33aNPI1477507069assigned 05/19/2006

33bProvider typeClinical Social Worker

28Total paid$9.87M

24GClaims79,296

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in New Mexico

Rank by total paid#1 of 171

Median peer was paid$68K

This provider vs. median145×

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	13,710	$1.28M
2019	13,557	$1.29M
2020	10,701	$1.37M
2021	12,117	$1.61M
2022	12,181	$1.68M
2023	10,755	$1.56M
2024incomplete	6,275	$1.08M

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	62%	55,040	19,612	$6.09M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	33%	18,297	2,538	$3.26M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	2.5%	2,996	1,242	$245K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.6%	1,317	1,314	$155K
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	<1%	721	709	$62K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	679	616	$42K
99205	Prolong outpt/office vis	<1%	67	67	$11K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	118	68	$10K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	61	39	$4K

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 officialCARRILLO, JT (CEO)