GOINES, MICHELLE
NPI: 1003389602
· BALTIMORE, MD 21216
· Clinical Social Worker
· NPI assigned 01/07/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 90834 with only 2 total codes billed. Highly concentrated billing profile.
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,041 |
$148K |
| 2020 |
2,410 |
$178K |
| 2021 |
2,295 |
$180K |
| 2022 |
2,536 |
$219K |
| 2023 |
2,870 |
$262K |
| 2024 |
2,303 |
$229K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
14,216 |
11,026 |
$1.19M |
| 90791 |
Psychiatric diagnostic evaluation |
239 |
239 |
$31K |