Behavioral
Macias, Lupe
Macias, Lupe was paid $331K by Medicaid between Jan 2018 and May 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.
33Billing provider infoMACIAS, LUPE
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1770613150assigned 03/06/2007
33bProvider typeMarriage & Family Therapist
28Total paid$331K
24GClaims4,300
24DCodes billed2
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Marriage & Family Therapist providers in California
Rank by total paid#297 of 1,717
Median peer was paid$66K
This provider vs. median5.0×
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 | 491 | $39K | |
| 2019 | 359 | $28K | |
| 2020 | 187 | $14K | |
| 2021 | 1,356 | $97K | |
| 2022 | 1,196 | $86K | |
| 2023 | 350 | $26K | |
| 2024incomplete | 361 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 99% | 4,243 | 1,591 | $326K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 57 | 34 | $4K |
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.