Hernandez, Teresa

Hernandez, Teresa was paid $324K by Medicaid between Oct 2019 and Aug 2023, across 7 billing codes. Its largest line is H0025, Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) — 35% of everything it billed.

33Billing provider infoHERNANDEZ, TERESA
GRAND JUNCTION, CO 81501

33aNPI1487715942assigned 12/12/2006

33bProvider typeClinical Social Worker

28Total paid$324K

24GClaims3,770

24DCodes billed7

24AFirst – last monthOct 2019 – Aug 2023

Compared with peers

Next to other Clinical Social Worker providers in Colorado

Rank by total paid#24 of 268

Median peer was paid$24K

This provider vs. median13×

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
2019	582	$27K
2020	39	$3K
2023	3,149	$294K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	35%	1,013	290	$114K
90853	Group psychotherapy (other than of a multiple-family group)	25%	960	361	$82K
H0005	Alcohol and/or drug services; group counseling by a clinician	18%	906	333	$58K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	16%	542	187	$53K
H0032	Mental health service plan development by non-physician	3.9%	70	47	$13K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	1.1%	235	125	$4K
H0006	Alcohol and/or drug services; case management	<1%	44	26	$691.24

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.