Prismtherapeutic Services INC.
Prismtherapeutic Services INC. was paid $5.23M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is T1026, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour — 43% of everything it billed.
33Billing provider infoPRISMTHERAPEUTIC SERVICES INC.
ALBUQUERQUE, NM 87105
ALBUQUERQUE, NM 87105
33aNPI1497114003assigned 02/11/2016
33bProvider typeSpeech-Language Pathologist
28Total paid$5.23M
24GClaims31,907
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Speech-Language Pathologist providers in New Mexico
Rank by total paid#5 of 59
Median peer was paid$191K
This provider vs. median27×
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 | 4,543 | $545K | |
| 2019 | 2,904 | $595K | |
| 2020 | 4,559 | $976K | |
| 2021 | 3,854 | $694K | |
| 2022 | 2,771 | $406K | |
| 2023 | 5,508 | $943K | |
| 2024incomplete | 7,768 | $1.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour | 43% | 14,412 | 1,293 | $2.27M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 21% | 3,899 | 757 | $1.07M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 19% | 5,275 | 503 | $992K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 9.2% | 4,372 | 1,177 | $480K |
| 0365T | 4.5% | 1,250 | 89 | $237K | |
| 0369T | 1.8% | 480 | 88 | $95K | |
| 0364T | <1% | 1,257 | 89 | $31K | |
| 97156 | <1% | 369 | 204 | $26K | |
| 0368T | <1% | 485 | 88 | $24K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 108 | 28 | $6K |
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 officialMONTOYA, ANDREA (OWNER)