Merit Consulting, LLC

Merit Consulting, LLC was paid $2.20M by Medicaid between Jul 2019 and Nov 2024, across 2 billing codes. Its largest line is T2025, waiver services not otherwise specified — 99% of everything it billed.

33Billing provider infoMERIT CONSULTING, LLC
ALBUQUERQUE, NM 87107

33aNPI1841646510assigned 05/11/2016

33bProvider typeCase Management Agency

28Total paid$2.20M

24GClaims7,001

24DCodes billed2

24AFirst – last monthJul 2019 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in New Mexico

Rank by total paid#21 of 35

Median peer was paid$2.74M

This provider vs. median0.8×

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 Concentration99% of spending on code T2025 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
2019	145	$33K
2020	663	$169K
2021	1,378	$386K
2022	1,658	$495K
2023	1,642	$596K
2024incomplete	1,515	$518K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2025	Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos)	99%	6,861	6,624	$2.18M
S5190	Wellness assessment, performed by non-physician	<1%	140	88	$21K

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 officialKENNY, CHRISTOPHER (PRESIDENT)