BALANCED PATH LLC
NPI: 1912405036
· ALBUQUERQUE, NM 87102
· Mental Health Counselor
· NPI assigned 01/23/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 90837 with only 1 total codes billed. Highly concentrated billing profile.
$1.13M
Total Medicaid Paid
2,949
Beneficiary Records
Provider Details
| Authorized Official | PONTES, JEFF (OWNER) |
| NPI Enumeration Date | 01/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
570 |
$56K |
| 2020 |
1,167 |
$152K |
| 2021 |
2,520 |
$314K |
| 2022 |
2,191 |
$266K |
| 2023 |
2,072 |
$280K |
| 2024 |
429 |
$66K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
8,949 |
2,949 |
$1.13M |