INSIGHTS COUNSELING GROUP
NPI: 1104943323
· AUBURN, CA 95603
· Community/Behavioral Health Agency
· NPI assigned 03/23/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$2.04M
Total Medicaid Paid
Provider Details
| Authorized Official | DOUDEN, SHERRY (DIRECTOR, MFT) |
| NPI Enumeration Date | 03/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,973 |
$195K |
| 2019 |
4,165 |
$403K |
| 2020 |
3,626 |
$351K |
| 2021 |
2,887 |
$254K |
| 2022 |
2,419 |
$236K |
| 2023 |
3,013 |
$295K |
| 2024 |
2,423 |
$311K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
20,049 |
7,053 |
$1.99M |
| 90791 |
Psychiatric diagnostic evaluation |
320 |
313 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
137 |
81 |
$9K |