Behavioral
Hughes, Debra
Hughes, Debra was paid $598K by Medicaid between Oct 2019 and Feb 2023, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 48% of everything it billed.
33Billing provider infoHUGHES, DEBRA
ELLSWORTH AFB, SD 57706
ELLSWORTH AFB, SD 57706
33aNPI1124363601assigned 12/10/2012
33bProvider typeClinical Social Worker
28Total paid$598K
24GClaims12,140
24DCodes billed6
24AFirst – last monthOct 2019 – Feb 2023
Compared with peers
Next to other Clinical Social Worker providers in South Dakota
Rank by total paid#3 of 30
Median peer was paid$21K
This provider vs. median29×
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 | |
|---|---|---|---|
| 2019 | 419 | $27K | |
| 2020 | 1,979 | $92K | |
| 2021 | 3,701 | $196K | |
| 2022 | 5,489 | $284K | |
| 2023 | 552 | $0.00 |
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 | 48% | 2,847 | 1,109 | $288K |
| H0046 | Mental health services, not otherwise specified | 38% | 7,499 | 1,608 | $227K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 11% | 1,397 | 491 | $66K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.5% | 330 | 78 | $15K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 25 | 22 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 42 | 29 | $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.