Balanced Path LLC

Balanced Path LLC was paid $1.13M by Medicaid between Feb 2019 and Jul 2024, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoBALANCED PATH LLC
ALBUQUERQUE, NM 87102

33aNPI1912405036assigned 01/23/2018

33bProvider typeMental Health Counselor

28Total paid$1.13M

24GClaims8,949

24DCodes billed1

24AFirst – last monthFeb 2019 – Jul 2024

Compared with peers

Next to other Mental Health Counselor providers in New Mexico

Rank by total paid#16 of 159

Median peer was paid$100K

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code 90837 with only 1 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	570	$56K
2020	1,167	$152K
2021	2,520	$314K
2022	2,191	$266K
2023	2,072	$280K
2024incomplete	429	$66K

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	100%	8,949	2,949	$1.13M

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 officialPONTES, JEFF (OWNER)