Providers

JUAN PABLO HERNANDEZ, Guidance/Councelor

NPI 1457657157, individual, Sunland Park, NM, Counselor, Professional

5
Evidence tier
informational
score 31 of 100, rank 11126, $718K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJUAN PABLO HERNANDEZ, Guidance/Councelor
TypeIndividual, sole proprietor
StatusActive
NPI issuedJanuary 28, 2011, last updated November 1, 2023
Practice location3465 MCNUTT RD, Sunland Park, NM 88063-9056, 575-915-1338
Mailing address3130 SAVANNAH AVE, EL Paso, TX 79930-4432
Specialties
Counselor, Professional (101YP2500X, 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90832Psychotherapy, 30 minutes$443K41%$220$59 (top 5% from $239)94th percentile
90834Psychotherapy, 45 minutes$249K23%$253$101 (top 5% from $318)91st percentile
90847Family psychotherapy with patient, 50 minutes$220K20%$311$130 (top 5% from $458)89th percentile
90837Psychotherapy, 1 hourhistory of abuse$103K10%$235$191 (top 5% from $442)67th percentile
90846Family psychotherapy without patient, 50 minutes$54K5%$162$113 (top 5% from $277)77th percentile
90791Psychiatric diagnostic evaluation$5K1%$106$105 (top 5% from $228)too few months to rank

In this area

12 providers in Doña Ana County, NM carry an indicator in the public record, with $13.1M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1JOSE VELASQUEZ
Anthony, NM, ranked 34
$265K
  • Listed on the CA Medicaid exclusion list since October 30, 2013.
  • Medicaid still paid claims in 17 later months, $265,322 in total.
  • and 1 more
3NANCY MARSHALL
Las Cruces, NM, ranked 1521
$12K
  • Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated.
  • Medicaid paid $11,818 in the last 12 observed months.
3EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC
Las Cruces, NM, ranked 1522
$12K
  • Charged (indicted) per a state attorney general release dated March 5, 2025, not adjudicated.
  • Medicaid paid $11,818 in the last 12 observed months.
3NEW MEXICO HEALTHCARE SERVICES, LLC
Las Cruces, NM, ranked 3927
$0
  • Part of provider network D1-00062, ranked 62 nationally.
4JAIME SANCHEZ
Las Cruces, NM, ranked 7443
$5.3M
  • Hours beyond a day in 42 months, but with up to 835 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4OBIEFUNA OKOLI
Las Cruces, NM, ranked 7597
$2.7M
  • Hours beyond a day in 4 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4ALEKSANDR GAZAROV
Santa Teresa, NM, ranked 7644
$2.3M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4ALYSE HOWARD
Las Cruces, NM, ranked 9461
$208K
  • Hours beyond a day in 1 month, but with up to 100 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 12 in NM

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.

Ask this case

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