Behavioral
Gina Simon Lisw, PC
Gina Simon Lisw, PC was paid $598K by Medicaid between Jan 2018 and Jun 2024, across 1 billing code. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoGINA SIMON LISW, PC
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1689860462assigned 09/14/2007
33bProvider typeClinical Social Worker
28Total paid$598K
24GClaims4,055
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Clinical Social Worker providers in New Mexico
Rank by total paid#24 of 171
Median peer was paid$68K
This provider vs. median8.8×
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 | 710 | $99K | |
| 2019 | 789 | $114K | |
| 2020 | 757 | $98K | |
| 2021 | 747 | $117K | |
| 2022 | 662 | $99K | |
| 2023 | 130 | $23K | |
| 2024incomplete | 260 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 100% | 4,055 | 1,295 | $598K |
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 officialSIMON, GINA (PRESIDENT)