Behavioral
Lima, Rui
Lima, Rui was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 94% of everything it billed.
33Billing provider infoLIMA, RUI
FALL RIVER, MA 02723
FALL RIVER, MA 02723
33aNPI1073715074assigned 06/01/2007
33bProvider typeCounselor
28Total paid$1.46M
24GClaims16,847
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Massachusetts
Rank by total paid#3 of 120
Median peer was paid$44K
This provider vs. median33×
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.
Single-Code Concentration94% of spending on code 90834 with only 2 total codes billed. Highly concentrated billing profile.
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 | 2,177 | $170K | |
| 2019 | 2,210 | $179K | |
| 2020 | 3,301 | $277K | |
| 2021 | 2,346 | $204K | |
| 2022 | 2,422 | $220K | |
| 2023 | 2,300 | $219K | |
| 2024incomplete | 2,091 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 94% | 16,069 | 6,988 | $1.36M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.2% | 778 | 775 | $90K |
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.