Behavioral
Jimenez, Carmen
Jimenez, Carmen was paid $1.31M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 64% of everything it billed.
33Billing provider infoJIMENEZ, CARMEN
CORONA, NY 11368
CORONA, NY 11368
33aNPI1114074580assigned 01/05/2007
33bProvider typeSocial Worker
28Total paid$1.31M
24GClaims23,158
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Social Worker providers in New York
Rank by total paid#17 of 192
Median peer was paid$40K
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.
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 | 2,880 | $112K | |
| 2019 | 3,705 | $163K | |
| 2020 | 4,598 | $228K | |
| 2021 | 3,862 | $207K | |
| 2022 | 3,611 | $235K | |
| 2023 | 2,456 | $192K | |
| 2024incomplete | 2,046 | $171K |
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 | 64% | 9,831 | 3,407 | $838K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 19% | 2,739 | 1,429 | $253K |
| 90785 | 7.3% | 9,148 | 3,269 | $95K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 6.7% | 1,106 | 456 | $87K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.3% | 276 | 108 | $30K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 33 | 33 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 25 | 15 | $935.90 |
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.