Behavioral
CPT
CPT was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoCPT
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1144612409assigned 02/24/2015
33bProvider typeProfessional Counselor
28Total paid$1.65M
24GClaims22,526
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Maryland
Rank by total paid#11 of 322
Median peer was paid$69K
This provider vs. median24×
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 | 1,110 | $19.03 | |
| 2019 | 1,345 | $18K | |
| 2020 | 4,486 | $315K | |
| 2021 | 4,299 | $330K | |
| 2022 | 4,837 | $404K | |
| 2023 | 4,022 | $319K | |
| 2024incomplete | 2,427 | $269K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 56% | 10,823 | 8,888 | $921K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 37% | 9,834 | 5,787 | $617K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 326 | 228 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 441 | 403 | $37K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 142 | 140 | $21K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 327 | 150 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 31 | 27 | $6K |
| 96127 | <1% | 457 | 427 | $4K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 60 | 46 | $2K |
| 80305 | <1% | 43 | 38 | $380.76 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 42 | 35 | $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.
From NPPES
Who's on the registration
Authorized officialSCHNABLY, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| CPT | Cumberland, MD | $1.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.