Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Sprague, Elijah

Sprague, Elijah was paid $6K by Medicaid between Sep 2018 and Sep 2018, across 3 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 63% of everything it billed.

33Billing provider infoSPRAGUE, ELIJAH
HILLSBORO, OH 45133
33aNPI1124546866assigned 09/01/2017
28Total paid$6K
24GClaims75
24DCodes billed3
24AFirst – last monthSep 2018 – Sep 2018
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Ohio

Rank by total paid#396 of 540
Median peer was paid$25K
This provider vs. median0.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201875$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 63% 22 14 $4K
H2012 Behavioral health day treatment, per hour 22% 33 17 $1K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 15% 20 16 $906.62

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.