Medicaid Provider Spending

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

GUIDANCE FOUNDATION INC

NPI: 1760421168 · RIO RANCHO, NM 87124 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/05/2006

$888K
Total Medicaid Paid
8,236
Total Claims
4,884
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialPENN, JANICE (OWNER)
NPI Enumeration Date06/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,654 $249K
2019 1,014 $79K
2020 1,883 $227K
2021 1,232 $141K
2022 1,328 $181K
2023 125 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 3,021 427 $483K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,578 1,370 $140K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,463 1,242 $71K
99215 Prolong outpt/office vis 455 362 $55K
90838 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 255 176 $29K
90863 464 417 $28K
90832 Psychotherapy, 30 minutes with patient 343 307 $17K
90792 Psychiatric diagnostic evaluation with medical services 61 61 $8K
90834 Psychotherapy, 45 minutes with patient 102 101 $8K
H0033 Oral medication administration, direct observation 21 13 $1K