Medicaid Provider Spending

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

BLUEJAY THERAPY, PC

NPI: 1508213869 · ALBUQUERQUE, NM 87120 · Community/Behavioral Health Agency · NPI assigned 05/17/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H2019 with only 2 total codes billed. Highly concentrated billing profile.

$1.60M
Total Medicaid Paid
16,458
Total Claims
4,814
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialKARCZ, SUSAN (OWNER/DIRECTOR)
NPI Enumeration Date05/17/2016

Related Entities

Other providers sharing the same authorized official: KARCZ, SUSAN

ProviderCityStateTotal Paid
A BETTER WAY OF LIVING, INC. ALBUQUERQUE NM $32.38M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,103 $188K
2019 2,441 $241K
2020 2,722 $201K
2021 2,710 $243K
2022 2,681 $285K
2023 2,644 $310K
2024 1,157 $136K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 16,440 4,801 $1.59M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 18 13 $10K