Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SEQUEL OF NEW MEXICO, LLC

NPI: 1992944557 · ALBUQUERQUE, NM 87106 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 02/05/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

93% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$4.23M
Total Medicaid Paid
901
Total Claims
449
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGURULE, YVONNE (DIRECTOR OF MARKETING & CONTRACTS)
Parent OrganizationSEQUET YOUTH AND FAMILY SERVICES, LLC
NPI Enumeration Date02/05/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 436 $298K
2019 465 $3.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 465 221 $3.93M
S9999 Sales tax 436 228 $298K