Toney, James

Toney, James was paid $265K by Medicaid between Mar 2022 and Dec 2024, across 5 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 83% of everything it billed.

33Billing provider infoTONEY, JAMES
BOWLING GREEN, KY 42103

33aNPI1063927671assigned 12/05/2017

33bProvider typeProfessional Counselor

28Total paid$265K

24GClaims3,039

24DCodes billed5

24AFirst – last monthMar 2022 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Kentucky

Rank by total paid#95 of 255

Median peer was paid$129K

This provider vs. median2.1×

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.

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
2022	522	$9K
2023	551	$22K
2024incomplete	1,966	$234K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2020	Therapeutic behavioral services, per diem	83%	921	190	$219K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.7%	422	255	$18K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	6.2%	285	155	$16K
90785		4.3%	1,399	600	$11K
H0032	Mental health service plan development by non-physician	<1%	12	12	$858.00

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.