Vanguard Behavioral Health

Vanguard Behavioral Health was paid $2.13M by Medicaid between Nov 2023 and Dec 2024, across 8 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 — 89% of everything it billed.

33Billing provider infoVANGUARD BEHAVIORAL HEALTH
ALBUQUERQUE, NM 87110

33aNPI1891418661assigned 09/26/2022

33bProvider typeMental Health Clinic/Center (Including Community Mental Health Center)

28Total paid$2.13M

24GClaims12,141

24DCodes billed8

24AFirst – last monthNov 2023 – Dec 2024

Compared with peers

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

Rank by total paid#8 of 64

Median peer was paid$83K

This provider vs. median26×

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
2023	646	$140K
2024incomplete	11,495	$1.99M

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	89%	7,504	673	$1.90M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	5.8%	804	379	$123K
H0038	Self-help/peer services, per 15 minutes	2.9%	2,787	344	$61K
H0031	Mental health assessment, by non-physician	<1%	78	77	$14K
80305		<1%	859	256	$13K
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	<1%	37	31	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	43	43	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	29	29	$5K

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 officialBRIGGS, LAWRENCE (CEO)

Same official

Other billing entities under BRIGGS, LAWRENCE

Full network →

Provider	Location	Paid
Pathfinders Recovery Center Colorado, LLC	Aurora, CO	$6.74M
Vanguard Behavioral Health	Tucson, AZ	$2.95M
Pathfinders Recovery Center Colorado, LLC	Aurora, CO	$543K
Pathfinders Recovery Center Colorado, LLC	Aurora, CO	$518K

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