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NPI 1063412716
NPI deactivated
1063412716
1063412716 was paid $14.71M by Medicaid between Jan 2018 and Jun 2022, across 34 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 20% of everything it billed.
33Billing provider info1063412716
33aNPI1063412716
33bProvider type—
28Total paid$14.71M
24GClaims98,651
24DCodes billed34
24AFirst – last monthJan 2018 – Jun 2022
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 | 26,864 | $3.30M | |
| 2019 | 43,279 | $6.18M | |
| 2020 | 23,357 | $4.10M | |
| 2021 | 3,156 | $693K | |
| 2022 | 1,995 | $440K |
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 | 20% | 9,988 | 6,274 | $2.92M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.8% | 7,511 | 5,097 | $1.44M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 9.2% | 4,507 | 3,791 | $1.35M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.1% | 7,204 | 5,815 | $1.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 10,999 | 7,745 | $1.14M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.4% | 7,185 | 3,968 | $643K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 4.3% | 6,494 | 1,508 | $635K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4.2% | 3,441 | 2,139 | $611K |
| H0034 | Medication training and support, per 15 minutes | 3.4% | 7,010 | 4,438 | $503K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 3,297 | 2,526 | $490K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 3.2% | 698 | 276 | $476K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.2% | 1,348 | 1,252 | $468K |
22 more codes
| H0038 | Self-help/peer services, per 15 minutes | 2.9% | 3,208 | $429K |
| H2011 | Crisis intervention service, per 15 minutes | 2.9% | 1,429 | $423K |
| H2014 | Skills training and development, per 15 minutes | 2.6% | 1,784 | $382K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.7% | 4,264 | $243K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.4% | 846 | $203K |
| H0001 | Alcohol and/or drug assessment | 1.2% | 652 | $177K |
| 90839 | 1.1% | 506 | $167K | |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 1,129 | $121K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 673 | $110K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 1,861 | $107K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 7,698 | $86K |
| H0006 | Alcohol and/or drug services; case management | <1% | 686 | $57K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,263 | $57K |
| 90785 | <1% | 1,668 | $48K | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 439 | $25K |
| H0031 | Mental health assessment, by non-physician | <1% | 62 | $17K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 71 | $17K |
| H0032 | Mental health service plan development by non-physician | <1% | 248 | $15K |
| H2023 | Supported employment, per 15 minutes | <1% | 302 | $6K |
| 90840 | <1% | 16 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 117 | $2K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 47 | $1K |
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.