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    OpenPayerNPI Medicare & MedicaidSouthwest Family Guidance Center LLC
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    Southwest Family Guidance Center LLC — Billing Profile & Reimbursement Data

    NPI 1184748394 · Albuquerque, NM · Adolescent and Children Mental Health Clinic/Center

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    Southwest Family Guidance Center LLC is a adolescent and children mental health clinic/center provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSouthwest Family Guidance Center LLC
    Address2612 Texas St Ne
    CityAlbuquerque
    StateNM
    ZIP87110
    TaxonomyAdolescent and Children Mental Health Clinic/Center
    NPI EnumeratedMarch 16, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$32.7M
    Medicare$0

    Key Findings

    The provider’s Medicaid billing profile is heavily concentrated in intensive juvenile and outpatient psychotherapy services: H2033 (Multisystemic therapy for juveniles) accounts for $24.1M in revenue with 65.3K claims, 90834 (psychotherapy, 38–52 minutes) accounts for $5.2M with 66.7K claims, and H2015 (Comprehensive community support services) accounts for $1.9M with 11.1K claims. These three codes together represent 95.5% of the provider’s total reported Medicaid revenue, indicating a focused service mix centered on community-based juvenile behavioral health and high-volume psychotherapy delivery.

    H2033 alone represents a dominant share of the Medicaid revenue base at $24.1M (73.7% of the provider’s Medicaid revenue). That level of concentration implies operational and reimbursement exposure tied to the continued authorization and payment environment for multisystemic therapy services.

    This entity is effectively single‑payer in scale for the datasets available: there is no Medicare billing on file while Medicaid revenue totals $32.7M. The absence of Medicare activity means the provider’s revenue strategy and risk are materially dependent on Medicaid contracts and policy in New Mexico.

    The provider’s competitive standing for its top codes is strong within the state: H2033 ranks #1 of 8 providers in-state and is in the 100th percentile (notably above typical state volume), while 90834 ranks #2 of 380 providers and is characterized as an extreme outlier (100th percentile, far above typical state volume). These rank and percentile positions indicate the provider is a major statewide player for multisystemic therapy and an unusually large provider of psychotherapy services for the Medicaid population.

    Although 90834 is a primary revenue driver, the presence of 90837 (psychotherapy, 53+ minutes) with 4K claims and $501.9K in revenue and other psychotherapy codes such as 90847 and 90846 indicates service-level breadth across session durations and family-involved care. This code mix suggests the organization operates both high-volume individual psychotherapy and longer/ family therapy modalities, supporting a multi-format clinical model.

    H2015 (Comprehensive community support services) contributes $1.9M (5.9% of Medicaid revenue) and ranks #25 of 123 providers in-state at the 80th percentile, which signals a typical, unremarkable volume for community support relative to peers. That positioning shows some program diversification beyond multisystemic therapy but not at the same scale as the top two revenue drivers.

    The provider’s claim volumes for top codes are substantial—65.3K claims for H2033 and 66.7K claims for 90834—reflecting a high-throughput operating model likely built on recurring, session-based interventions and intensive case management. High claim counts paired with the revenue concentration suggest operational scale in delivering time-based treatment services to juvenile and child populations.

    SOUTHWEST FAMILY GUIDANCE CENTER LLC has an established operational tenure, with the NPI enumerated on 2007-03-16 (~19 years ago). Long tenure combined with the concentration in specialized Medicaid services likely supports referral relationships and capacity to deliver large volumes of multisystemic and psychotherapy services in New Mexico.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2033Multisystemic therapy for juveniles, per 15 minutes65,320$370$24.1M
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…66,710$80$5.2M
    H2015Comprehensive community support services, per 15 minutes11,080$170$1.9M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…3,950$130$501.9K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…4,920$90$423.1K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2,220$110$241.4K
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.2,540$90$218K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…2,200$30$57.2K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…540$60$30.9K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.80$1$320

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Mexico median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2033Multisystemic therapy for juveniles, per 15 minutes1104,640$370$4.3M
    H2015Comprehensive community support services, per 15 minutes251202,640$150$1.2M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…180920860$120$361.9K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…2380400$80$213.5K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…63190970$40$189.7K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…130290470$70$161.5K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…10180300$100$134.2K
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.770180$100$121.1K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1734080$130$69.4K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.79100330$10$13.4K

    Nearby Providers

    Other providers in the same ZIP code as Southwest Family Guidance Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    1st Care Of New Mexico LLCNMIn Home Supportive Care Agency$0$86.5M
    Community Options, IncNMChild Intellectual and/or Developmental Disabilities Respite Care$0$76.7M
    Abarim Home Health Care Inc.NMCommunity Based Hospice Care Agency$0$66M
    New Mexico Department Of HealthNMCustomized Equipment (DME)$0$60.4M
    Independent Living Resource CenterNMPersonal Care Attendant$0$57.7M
    Ability First, LLCNMExclusive Provider Organization$0$49M
    Alta Mira Specialized Family Services, Inc.NMCommunity/Behavioral Health Agency$0$46.2M
    Aid Home Health Care Services LLC.NMHome Health Agency$0$32.4M
    Active Solutions IncorporatedNMDevelopmentally Disabled Services Day Training Agency$0$31.3M
    Great Livin', LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$27.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Southwest Family Guidance Center LLC — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico