Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WELLSPRING

NPI: 1003851411 · SPRINGFIELD, OH 45502 · Addiction (Substance Use Disorder) Counselor · NPI assigned 06/19/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

$1.19M
Total Medicaid Paid
12,904
Total Claims
5,336
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialNELSON, TIFFANY (OFFICE MANAGER)
NPI Enumeration Date06/19/2006

Related Entities

Other providers sharing the same authorized official: NELSON, TIFFANY

ProviderCityStateTotal Paid
TIFFANY NELSON MD PLC PHOENIX AZ $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,678 $274K
2019 2,035 $199K
2020 1,516 $153K
2021 1,781 $172K
2022 2,122 $213K
2023 1,196 $119K
2024 576 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 12,734 5,231 $1.18M
90791 Psychiatric diagnostic evaluation 132 76 $7K
90832 Psychotherapy, 30 minutes with patient 38 29 $2K