MARTHA AMOS, BA
NPI 1386839009, individual, Grand Junction, CO, Counselor, Mental Health
- Hours beyond a day in 18 months, but with up to 779 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code H0025 ($1424 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 30.0 | 25.1 | 16.7 | 21.8 | 482 | 2 | 90791 90837 90847 90853 T1017 | $71K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 30.1 | 24.8 | 16.5 | 23.7 | 519 | 2 | 90791 90837 90853 T1017 | $68K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 35.4 | 47.6 | 31.8 | 33.2 | 395 | 1 | 90791 90832 90834 90837 90853 H0004 T1017 | $133K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 35.4 | 47.3 | 31.5 | 38.6 | 368 | 1 | 90832 90834 90837 90853 T1017 | $140K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 33.5 | 45.7 | 30.4 | 32.6 | 378 | 1 | 90791 90832 90834 90837 90853 T1017 | $128K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 35.3 | 47.6 | 31.7 | 35.9 | 388 | 1 | 90791 90832 90834 90837 90853 T1017 | $137K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 30.3 | 40.8 | 27.2 | 33.3 | 371 | 1 | 90791 90832 90834 90837 90853 T1017 | $119K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 28.8 | 32.9 | 21.9 | 26.3 | 448 | 1 | 90791 90832 90834 90837 90853 H0004 T1017 | $103K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 30.9 | 55.5 | 37.0 | 45.6 | 406 | 1 | 90791 90832 90834 90837 90853 H0004 T1017 | $158K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 35.6 | 60.7 | 40.4 | 47.1 | 393 | 1 | 90791 90837 90853 H0004 T1017 | $154K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 31.8 | 53.4 | 35.6 | 41.4 | 406 | 1 | 90791 90834 90837 90853 H0004 T1017 | $152K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 41.7 | 64.1 | 42.7 | 50.4 | 480 | 1 | 90791 90837 90853 H0004 T1017 | $170K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 32.3 | 56.0 | 37.3 | 41.4 | 435 | 1 | 90791 90837 90853 H0004 T1017 | $156K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 32.4 | 57.6 | 38.4 | 43.4 | 410 | 1 | 90791 90837 90853 H0004 T1017 | $155K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 35.5 | 66.0 | 44.0 | 53.6 | 442 | 1 | 90791 90837 90853 H0004 T1017 | $183K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 38.4 | 76.9 | 51.2 | 61.2 | 440 | 1 | 90791 90837 90853 H0004 T1017 | $219K |
| Sep 2023 | More hours than a day holds at a conservative unit price | 29.6 | 57.1 | 38.1 | 46.6 | 395 | 1 | 90791 90837 90853 H0004 T1017 | $155K |
| Oct 2023 | More hours than a day holds at a conservative unit price | 22.3 | 45.0 | 30.0 | 37.3 | 380 | 1 | 90791 90837 90853 H0004 T1017 | $128K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTHA AMOS, BA |
| Type | Individual |
| Status | Active |
| NPI issued | September 6, 2007, last updated September 6, 2007 |
| Practice location | 515 28 RD, Grand Junction, CO 81501, 970-241-6023 |
| Mailing address | PO BOX 40, Glenwood Springs, CO 81602-0040 |
| Specialties | Counselor, Mental Health (101YM0800X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H0025 | Medicaid service code | $12.5M | 48% | $1K | $83 (top 5% from $1K) | 97th percentile | |
| H0038 | Self-help/peer services per 15 min | $3.9M | 15% | $2K | $147 (top 5% from $2K) | 95th percentile | |
| 90853 | Group psychotherapyhistory of abuse | $2.7M | 10% | $384 | $60 (top 5% from $332) | 96th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $2.0M | 8% | $324 | $191 (top 5% from $442) | 87th percentile | |
| H0032 | Medicaid service code | $1.5M | 6% | $357 | $98 (top 5% from $675) | 81st percentile | |
| H0005 | Medicaid service code | $1.3M | 5% | $271 | $129 (top 5% from $479) | 83rd percentile | |
| T1017 | Targeted case management each 15 min | $803K | 3% | $72 | $167 (top 5% from $808) | 30th percentile | |
| H0043 | Supported housing per diem | $325K | 1% | $234 | $493 (top 5% from $6K) | 15th percentile |
In this area
4 providers in Mesa County, CO carry an indicator in the public record, with $2.1M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | KYRA RIVENLOCH Grand Junction, CO, ranked 718 | $423K |
|
| 3 | THE CENTER AT FORESIGHT, LLC Grand Junction, CO, ranked 5938 | $0 |
|
| 5 | AARON JIMENEZ Grand Junction, CO, ranked 10007 | $1.7M |
|
| 5 | DEBORAH BORREGO Collbran, CO, ranked 11794 | $40K |
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.