Compared to Counselor Peers
Total spending distribution among 9 providers in this specialty
This provider's total spending of $261K is at the below 25th percentile among 9 Counselor providers.
Total Paid
$261K
$261,356
Total Claims
3,279
Beneficiaries
1,418
2.3 claims/patient
Avg Cost/Claim
$80
🔍 Analysis
Provider Overview
Emma Ortega is a Counselor provider based in Los Lunas, NM. From 2018-01 through 2019-05, this provider received $261K in Medicaid payments across 3K claims serving 1K beneficiaries, billing 3 distinct procedure codes.
Key Findings
- 📊92% of all billing comes from a single procedure code: 90837 (90837). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Billing stopped in 2019-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 92% of total spending.
Psychotherapy, 60 minutes
$242K
3,058 claims · 92.4%
Psychiatric diagnostic evaluation
$13K
146 claims · 5.2%
$6K
75 claims
$84.46
$77.33
Family psychotherapy with patient, 50 min
$6K
75 claims · 2.4%
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