Mental Health Providers of Western Queens, INC.

Mental Health Providers of Western Queens, INC. was paid $33.91M by Medicaid between Oct 2018 and Dec 2024, across 17 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 67% of everything it billed.

33Billing provider infoMENTAL HEALTH PROVIDERS OF WESTERN QUEENS, INC.
JACKSON HEIGHTS, NY 11372

33aNPI1477699791assigned 01/30/2007

33bProvider typeCase Management Agency

28Total paid$33.91M

24GClaims272,489

24DCodes billed17

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#31 of 180

Median peer was paid$1.76M

This provider vs. median19×

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	145	$16K
2019	33,450	$3.17M
2020	74,952	$8.75M
2021	62,580	$7.64M
2022	56,022	$8.03M
2023	30,029	$4.12M
2024incomplete	15,311	$2.19M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	67%	158,185	57,039	$22.79M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	11%	35,875	16,140	$3.88M
90846	Family psychotherapy without the patient present, 50 minutes	8.6%	27,056	14,261	$2.92M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.7%	21,319	17,814	$2.27M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.4%	4,498	2,985	$826K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1.5%	8,249	7,676	$507K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	1,306	1,282	$150K
99051		<1%	10,233	4,951	$131K
90836		<1%	1,179	1,172	$116K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	2,123	588	$114K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	808	773	$101K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	599	265	$47K

5 more codes

99401		<1%	686	$27K
H0001	Alcohol and/or drug assessment	<1%	131	$21K
90792	Psychiatric diagnostic evaluation with medical services	<1%	41	$6K
H2017	Psychosocial rehabilitation, billed per 15 minutes	<1%	120	$5K
H2011	Crisis intervention service, per 15 minutes	<1%	81	$5K

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 officialMARTINEZ-CAO, ROSA (SENIOR OFFICE MANAGER)