Guidance Foundation INC

Guidance Foundation INC was paid $888K by Medicaid between Jan 2018 and May 2023, across 11 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 — 54% of everything it billed.

Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Mexico

Rank by total paid#12 of 64

Median peer was paid$83K

This provider vs. median11×

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	2,654	$249K
2019	1,014	$79K
2020	1,883	$227K
2021	1,232	$141K
2022	1,328	$181K
2023	125	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	54%	3,021	427	$483K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16%	1,578	1,370	$140K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	8.0%	1,463	1,242	$71K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.2%	455	362	$55K
90838		5.4%	473	408	$48K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	3.3%	255	176	$29K
90863		3.1%	464	417	$28K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.9%	343	307	$17K
90792	Psychiatric diagnostic evaluation with medical services	<1%	61	61	$8K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	102	101	$8K
H0033	Oral medication administration, direct observation	<1%	21	13	$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 officialPENN, JANICE (OWNER)