Garcon, Sandra

Garcon, Sandra was paid $64K by Medicaid between Aug 2018 and Apr 2020, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 57% of everything it billed.

33Billing provider infoGARCON, SANDRA
BROCKTON, MA 02301

33aNPI1114166840assigned 02/19/2009

33bProvider typeClinical Social Worker

28Total paid$64K

24GClaims760

24DCodes billed4

24AFirst – last monthAug 2018 – Apr 2020

Compared with peers

Next to other Clinical Social Worker providers in Massachusetts

Rank by total paid#187 of 541

Median peer was paid$29K

This provider vs. median2.2×

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	161	$14K
2019	500	$42K
2020	99	$8K

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	57%	426	192	$36K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	39%	298	124	$25K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.4%	12	12	$2K
90853	Group psychotherapy (other than of a multiple-family group)	1.1%	24	13	$698.74

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.