Behavioral
Roach, Theodus
Roach, Theodus was paid $34K by Medicaid between Jul 2018 and Jul 2019, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 74% of everything it billed.
33Billing provider infoROACH, THEODUS
INDIAN TRAIL, NC 28079
INDIAN TRAIL, NC 28079
33aNPI1154340768assigned 07/18/2006
33bProvider typeClinical Social Worker
28Total paid$34K
24GClaims370
24DCodes billed4
24AFirst – last monthJul 2018 – Jul 2019
Compared with peers
Next to other Clinical Social Worker providers in North Carolina
Rank by total paid#157 of 291
Median peer was paid$39K
This provider vs. median0.9×
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 | 93 | $10K | |
| 2019 | 277 | $24K |
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 | 74% | 247 | 92 | $25K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 18% | 50 | 42 | $6K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 7.0% | 33 | 16 | $2K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.0% | 40 | 31 | $345.68 |
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.