Behavioral
Spain, Bertram
Spain, Bertram was paid $29K by Medicaid between Jul 2018 and Feb 2020, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.
33Billing provider infoSPAIN, BERTRAM
HILO, HI 96720
HILO, HI 96720
33aNPI1114192770assigned 04/24/2008
33bProvider typeSocial Worker
28Total paid$29K
24GClaims407
24DCodes billed1
24AFirst – last monthJul 2018 – Feb 2020
Compared with peers
Next to other Social Worker providers in Hawaii
Rank by total paid#3 of 7
Median peer was paid$22K
This provider vs. median1.3×
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 | 218 | $19K | |
| 2019 | 147 | $10K | |
| 2020 | 42 | $107.38 |
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 | 100% | 407 | 200 | $29K |
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.