Five Sandoval Indian Pueblos, INC.

Five Sandoval Indian Pueblos, INC. was paid $3.18M by Medicaid between Jan 2018 and Jul 2024, across 2 billing codes. Its largest line is Q3014, Telehealth originating site facility fee — 97% of everything it billed.

33Billing provider infoFIVE SANDOVAL INDIAN PUEBLOS, INC.
BERNALILLO, NM 87004

33aNPI1689896284assigned 05/03/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$3.18M

24GClaims5,895

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in New Mexico

Rank by total paid#29 of 167

Median peer was paid$370K

This provider vs. median8.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code Q3014 with only 2 total codes billed. Highly concentrated billing profile.

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	154	$65K
2019	51	$23K
2020	990	$456K
2021	1,930	$957K
2022	1,632	$943K
2023	949	$604K
2024incomplete	189	$135K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q3014	Telehealth originating site facility fee	97%	5,690	2,018	$3.10M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.8%	205	104	$89K

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 officialPINO, TONI (ADMINISTRATIVE ASSISTANT-F.S.I.P IN)