Home ›
NPI 1093767543
NPI deactivated
1093767543
1093767543 was paid $16.03M by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 23% of everything it billed.
33Billing provider info1093767543
33aNPI1093767543
33bProvider type—
28Total paid$16.03M
24GClaims544,287
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 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 | 26,091 | $564K | |
| 2019 | 101,527 | $481K | |
| 2020 | 145,238 | $1.01M | |
| 2021 | 73,725 | $1.67M | |
| 2022 | 83,135 | $1.50M | |
| 2023 | 71,036 | $2.84M | |
| 2024incomplete | 43,535 | $7.96M |
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 | 23% | 79,527 | 32,688 | $3.68M |
| 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 | 15% | 63,226 | 46,709 | $2.36M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 11% | 83,230 | 32,070 | $1.75M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 8.4% | 42,125 | 17,040 | $1.35M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 6.8% | 1,044 | 941 | $1.09M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.5% | 51,079 | 23,815 | $889K |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 4.7% | 10,178 | 2,913 | $761K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.7% | 11,358 | 8,615 | $752K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 2.0% | 16,472 | 11,089 | $328K |
| H0038 | Self-help/peer services, per 15 minutes | 1.9% | 15,596 | 5,411 | $302K |
| H0032 | Mental health service plan development by non-physician | 1.7% | 12,918 | 8,583 | $279K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.5% | 12,750 | 4,898 | $245K |
34 more codes
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.4% | 5,468 | $227K |
| H0031 | Mental health assessment, by non-physician | 1.4% | 5,946 | $224K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 8,521 | $195K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 1.2% | 4,332 | $189K |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 4,183 | $178K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 10,084 | $152K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,604 | $137K |
| H0033 | Oral medication administration, direct observation | <1% | 12,229 | $122K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 6,980 | $117K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,659 | $113K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 1,855 | $109K |
| H2032 | Activity therapy, per 15 minutes | <1% | 4,248 | $98K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 2,826 | $62K |
| H0006 | Alcohol and/or drug services; case management | <1% | 1,567 | $60K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 2,098 | $44K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 13,038 | $37K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,088 | $35K |
| 99350 | Prolong home eval add 15m | <1% | 1,616 | $33K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 18,467 | $31K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 3,538 | $27K |
| H2014 | Skills training and development, per 15 minutes | <1% | 2,880 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 174 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 288 | $9K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 4,512 | $3K |
| H0001 | Alcohol and/or drug assessment | <1% | 72 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 207 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 136 | $1K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 1,725 | $148.25 |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 746 | $35.80 |
| H0045 | Respite care services, not in the home, per diem | 0% | 631 | $0.00 |
| 99201 | 0% | 95 | $0.00 | |
| 90899 | 0% | 2,195 | $0.00 | |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 0% | 5,722 | $0.00 |
| 99443 | 0% | 54 | $0.00 |
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.