REBECCA J. GALE, LCSW

NPI 1801220975, individual, Farmington, NM, Social Worker, Clinical

Evidence tier

informational

Medicaid dollars per patient on code 90834 ($1371 per patient-month) sit in the top 5% of every provider billing that code.

score 35 of 100, rank 10229, $579K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	REBECCA J. GALE, LCSW
Type	Individual, sole proprietor
Status	Active
NPI issued	August 26, 2013, last updated December 20, 2018
Practice location	1615 OJO COURT, Farmington, NM 84701, 505-564-4804
Mailing address	5841 HIGHWAY 140, Hesperus, CO 81326-9354
Specialties	Counselor, Mental Health (101YM0800X, license 1899 CO) Social Worker, Clinical (1041C0700X, primary, license X-10350 NM)

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

code	what it is	paid	share	per patient-month	typical	rank among providers
90834	Psychotherapy, 45 minutes	$807K	94%	$1K	$101 (top 5% from $318)	100th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$50K	6%	$504	$44 (top 5% from $110)	too few months to rank

In this area

48 providers in NM carry an indicator in the public record, with $56.7M at stake between them. The most common is more hours than a day holds, on 26 of them, followed by part of a provider network on 13. 5 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	JOSE 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
1	MOHAMED ASWAD Deming, NM, ranked 64	$901K	Listed on the OIG exclusion list since January 20, 2016. Medicaid still paid claims in 55 later months, $901,321 in total.
1	AMOS LASH Silver City, NM, ranked 229	$25K	Listed on the CA Medicaid exclusion list since October 21, 2011. Medicaid still paid claims in 25 later months, $24,519 in total.
1	SUSANNE KEE Silver City, NM, ranked 333	$4K	Adjudicated (pleaded guilty, complaint) per a state attorney general release dated August 14, 2025. Medicaid paid $4,074 in the last 12 observed months.
1	KEITH LEVITT Albuquerque, NM, ranked 527	$0	Adjudicated (pleaded guilty) per a state attorney general release dated October 16, 2025. No Medicaid payments in the last 12 observed months.
3	KLARUS HEALTH CARE, LLC Albuquerque, NM, ranked 816	$101K	Part of provider network D1-00077, ranked 77 nationally. Medicaid dollars per patient on code G0495 ($281 per patient-month) sit in the top 5% of every provider billing that code.
3	NEW MEXICO HEALTHCARE SERVICES, LLC Clovis, NM, ranked 830	$3.2M	Part of provider network D1-00062, ranked 62 nationally. 78% of Medicaid dollars are on codes with a history of abuse.
3	SAFEWAY MEDICAL TRANSPORTATION Albuquerque, NM, ranked 892	$11.0M	Charged (complaint) per a Department of Justice release dated June 23, 2026, not adjudicated. Medicaid paid $11,014,169 in the last 12 observed months.

All 48 in NM

Recent enforcement in NM

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyJul 20, 2026

New Mexico Woman Pleads Guilty to $4M Medicaid Fraud

Irving, a driver for a non-emergency medical transportation company, submitted false trip records claiming she and her children were Medicaid beneficiaries without transportation and claiming trips that had not occurred, which the company used to submit fraudulent claims to New Mexico Medicaid.

DOJComplaint filedJun 23, 2026

National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud

A federal civil forfeiture complaint seeks more than $2 million in seized funds alleged to be proceeds of a scheme by Safeway Medical Transportation LLC to bill New Mexico Medicaid for non-emergency medical transportation trips that did not occur, drivers driving themselves to appointments, duplicate trips, inflated mileage, and falsified transportation records, and state charges were filed against a McKinley County man for using forged prescriptions to obtain Schedule II controlled substances from a pharmacy.

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.

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