Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Perfectly Imperfect

Perfectly Imperfect was paid $13.68M by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 79% of everything it billed.

33Billing provider infoPERFECTLY IMPERFECT
ALBUQUERQUE, NM 87108
33aNPI1720486772assigned 12/08/2014
33bProvider typeMental Health Counselor
28Total paid$13.68M
24GClaims78,741
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in New Mexico

Rank by total paid#4 of 159
Median peer was paid$100K
This provider vs. median137×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20185,394$626K
20196,659$732K
202013,803$2.35M
202115,145$2.53M
20228,439$1.24M
202313,475$2.44M
2024incomplete15,826$3.76M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 79% 54,121 8,747 $10.87M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 18% 20,741 7,885 $2.45M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.3% 2,203 2,146 $309K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,660 771 $46K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 16 12 $1K

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 officialCAGLIOSTRO, DOMINIC (OWNER)
Same official

Other billing entities under CAGLIOSTRO, DOMINIC

Full network →
ProviderLocationPaid
Perfectly ImperfectAlbuquerque, NM$2.36M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.