Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRISMTHERAPEUTIC SERVICES INC.

NPI: 1497114003 · ALBUQUERQUE, NM 87105 · Speech-Language Pathologist · NPI assigned 02/11/2016

$5.23M
Total Medicaid Paid
31,907
Total Claims
4,316
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTOYA, ANDREA (OWNER)
NPI Enumeration Date02/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,768 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 14,412 1,293 $2.27M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 3,899 757 $1.07M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 5,275 503 $992K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,372 1,177 $480K
0365T 1,250 89 $237K
0369T 480 88 $95K
0364T 1,257 89 $31K
97156 369 204 $26K
0368T 485 88 $24K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 108 28 $6K