Goines, Michelle

Goines, Michelle was paid $1.22M by Medicaid between Jan 2019 and Dec 2024, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 97% of everything it billed.

33Billing provider infoGOINES, MICHELLE
BALTIMORE, MD 21216

33aNPI1003389602assigned 01/07/2019

33bProvider typeClinical Social Worker

28Total paid$1.22M

24GClaims14,455

24DCodes billed2

24AFirst – last monthJan 2019 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Maryland

Rank by total paid#22 of 580

Median peer was paid$40K

This provider vs. median30×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code 90834 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2019	2,041	$148K
2020	2,410	$178K
2021	2,295	$180K
2022	2,536	$219K
2023	2,870	$262K
2024incomplete	2,303	$229K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	97%	14,216	11,026	$1.19M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.5%	239	239	$31K

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.