Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Malone, James

Malone, James was paid $267K by Medicaid between Jan 2018 and May 2024, across 4 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 40% of everything it billed.

33Billing provider infoMALONE, JAMES
CHATHAM, MA 02633
33aNPI1003240565assigned 09/02/2013
33bProvider typeMental Health Counselor
28Total paid$267K
24GClaims3,261
24DCodes billed4
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#129 of 597
Median peer was paid$53K
This provider vs. median5.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018867$67K
2019602$46K
2020580$47K
2021409$32K
2022425$32K
2023163$18K
2024incomplete215$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 40% 1,460 487 $108K
90847 Family psychotherapy with the patient present, 50 minutes 38% 1,310 372 $101K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 16% 378 111 $42K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 6.1% 113 103 $16K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.