Is MENTAL HEALTH RESOURCES, INC. flagged for Medicaid fraud?

MENTAL HEALTH RESOURCES, INC. (NPI: 1811049653) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MENTAL HEALTH RESOURCES, INC. bill Medicaid?

MENTAL HEALTH RESOURCES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Counselor, Mental Health provider. Located in CLOVIS, NM.

What is NPI 1811049653?

NPI 1811049653 is the National Provider Identifier for MENTAL HEALTH RESOURCES, INC.. They are a Counselor, Mental Health provider based in CLOVIS, NM. This NPI is registered with the CMS NPI Registry.

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MENTAL HEALTH RESOURCES, INC.

Counselor, Mental Health·CLOVIS, NM·NPI: 1811049653Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the 75th percentile among 27 Counselor, Mental Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.0M

$30,984,144

Total Claims

293K

Beneficiaries

196K

1.5 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018

$4.1M

+3%

2019

$4.3M

+0%

2020

$4.3M

+8%

2021

$4.6M

-3%

2022

$4.4M

+5%

2023

$4.7M

-0%

2024

$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (G9001) accounts for 39% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

G9001 See all providers →

$12.2M

47K claims

$261.36

$53.98

4.8×

Top 25%

G9001Top 25%

$12.2M

47K claims · 39.3%

Your Cost: $261.36/claim|Median: $53.98

4.8× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$4.2M

24K claims

$173.87

$91.63

1.9×

Top 25%

H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$4.2M

24K claims · 13.6%

Your Cost: $173.87/claim|Median: $91.63

1.9× median

90837Psychotherapy, 60 minutesSee all providers →

$3.7M

26K claims

$141.01

$85.66

1.6×

Top 10%

90837Top 10%

Psychotherapy, 60 minutes

$3.7M

26K claims · 11.9%

Your Cost: $141.01/claim|Median: $85.66

1.6× median

G9003 See all providers →

$2.4M

1,697 claims

$1,390.31

$46.36

30.0×

Top 5%

G9003Top 5%

$2.4M

1,697 claims · 7.6%

Your Cost: $1,390.31/claim|Median: $46.36

30.0× median

H2010Comprehensive medication services, per 15 minSee all providers →

$1.5M

21K claims

$74.34

$62.69

1.2×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$1.5M

21K claims · 5.0%

Your Cost: $74.34/claim|Median: $62.69

1.2× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$1.5M

8,440 claims

$176.39

$129.75

1.4×

Top 25%

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.5M

8,440 claims · 4.8%

Your Cost: $176.39/claim|Median: $129.75

1.4× median

H2015Comprehensive community support services, per 15 minSee all providers →

$1.0M

11K claims

$91.81

$96.24

1.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$1.0M

11K claims · 3.2%

Your Cost: $91.81/claim|Median: $96.24

1.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$915K

11K claims

$85.99

$53.41

1.6×

Top 25%

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$915K

11K claims · 3.0%

Your Cost: $85.99/claim|Median: $53.41

1.6× median

90832Psychotherapy, 30 minutesSee all providers →

$887K

13K claims

$69.57

$41.28

1.7×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$887K

13K claims · 2.9%

Your Cost: $69.57/claim|Median: $41.28

1.7× median

Q3014Telehealth originating site facility feeSee all providers →

$728K

25K claims

$28.82

$15.37

1.9×

Top 10%

Q3014Top 10%

Telehealth originating site facility fee

$728K

25K claims · 2.3%

Your Cost: $28.82/claim|Median: $15.37

1.9× median

H2033Multisystemic therapy for juveniles, per 15 minutesSee all providers →

$591K

2,377 claims

$248.80

$227.82

1.1×

Normal range

H2033Normal range

Multisystemic therapy for juveniles, per 15 minutes

$591K

2,377 claims · 1.9%

Your Cost: $248.80/claim|Median: $227.82

1.1× median

90834Psychotherapy, 45 minutesSee all providers →

$291K

2,997 claims

$97.21

$63.65

1.5×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$291K

2,997 claims · 0.9%

Your Cost: $97.21/claim|Median: $63.65

1.5× median

90863 See all providers →

$257K

5,200 claims

$49.33

$29.71

1.7×

Top 25%

90863Top 25%

$257K

5,200 claims · 0.8%

Your Cost: $49.33/claim|Median: $29.71

1.7× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$205K

1,554 claims

$131.96

$215.80

0.6×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$205K

1,554 claims · 0.7%

Your Cost: $131.96/claim|Median: $215.80

0.6× median

90853Group psychotherapySee all providers →

$198K

6,318 claims

$31.37

$25.02

1.3×

Normal range

90853Normal range

Group psychotherapy

$198K

6,318 claims · 0.6%

Your Cost: $31.37/claim|Median: $25.02

1.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$183K

1,118 claims

$163.91

$99.21

1.7×

Top 25%

90791Top 25%

Psychiatric diagnostic evaluation

$183K

1,118 claims · 0.6%

Your Cost: $163.91/claim|Median: $99.21

1.7× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$121K

1,691 claims

$71.79

$55.04

1.3×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$121K

1,691 claims · 0.4%

Your Cost: $71.79/claim|Median: $55.04

1.3× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$76K

438 claims

$172.44

$108.91

1.6×

Top 25%

90792Top 25%

Psychiatric diagnostic evaluation with medical services

$76K

438 claims · 0.2%

Your Cost: $172.44/claim|Median: $108.91

1.6× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$30K

191 claims

$155.74

$64.10

2.4×

Top 10%

T1007Top 10%

Alcohol/drug services, treatment plan review

$30K

191 claims · 0.1%

Your Cost: $155.74/claim|Median: $64.10

2.4× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$18K

39 claims

$462.58

$114.71

4.0×

Top 5%

H2000Top 5%

Comprehensive multidisciplinary evaluation

$18K

39 claims · 0.1%

Your Cost: $462.58/claim|Median: $114.71

4.0× median

90847Family psychotherapy with patient, 50 minSee all providers →

$15K

124 claims

$124.55

$77.33

1.6×

Top 25%

90847Top 25%

Family psychotherapy with patient, 50 min

$15K

124 claims · 0.0%

Your Cost: $124.55/claim|Median: $77.33

1.6× median

T1016Case management, each 15 minSee all providers →

76K claims

$0.00

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

76K claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62

0.0× median

S0280Medical home program, comprehensive care managementSee all providers →

7,097 claims

$0.00

$48.38

0.0×

Normal range

S0280Normal range

Medical home program, comprehensive care management

7,097 claims · 0.0%

Your Cost: $0.00/claim|Median: $48.38

0.0× median

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$170.8M

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