Behavioral
Heart & Soul of NM, INC
Heart & Soul of NM, INC was paid $7.16M by Medicaid between Sep 2018 and Dec 2024, across 11 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 45% of everything it billed.
33Billing provider infoHEART & SOUL OF NM, INC
BELEN, NM 87002
BELEN, NM 87002
33aNPI1922504117assigned 04/05/2018
33bProvider typeClinical Social Worker
28Total paid$7.16M
24GClaims58,305
24DCodes billed11
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in New Mexico
Rank by total paid#2 of 171
Median peer was paid$68K
This provider vs. median105×
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 | 1,667 | $91K | |
| 2019 | 3,351 | $264K | |
| 2020 | 4,796 | $511K | |
| 2021 | 8,983 | $1.03M | |
| 2022 | 9,282 | $1.12M | |
| 2023 | 12,876 | $1.71M | |
| 2024incomplete | 17,350 | $2.43M |
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 | 45% | 24,778 | 7,496 | $3.22M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 29% | 13,355 | 4,098 | $2.06M |
| 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 | 13% | 7,799 | 6,172 | $930K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.7% | 1,693 | 1,684 | $265K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.1% | 2,687 | 1,168 | $224K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.6% | 5,875 | 1,556 | $188K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 607 | 605 | $93K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 542 | 520 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 857 | 645 | $82K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 74 | 42 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 38 | 19 | $760.00 |
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 officialCASTILLO, IGNACIO (PRESIDENT)