Behavioral
OIG excluded
Bethea, Ethel
Bethea, Ethel was paid $427K by Medicaid between Nov 2018 and Sep 2019, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.
33Billing provider infoBETHEA, ETHEL
NEW HAVEN, CT 06519
NEW HAVEN, CT 06519
33aNPI1033402045assigned 05/24/2011
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$427K
24GClaims4,829
24DCodes billed2
24AFirst – last monthNov 2018 – Sep 2019
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Connecticut
Rank by total paid#25 of 144
Median peer was paid$96K
This provider vs. median4.5×
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.
OIG exclusionListed on the federal exclusion list (11/20/2024).
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 | |
|---|---|---|---|
| 2018 | 535 | $47K | |
| 2019 | 4,294 | $380K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 98% | 4,744 | 492 | $420K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 85 | 69 | $7K |
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.