Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$5.0K$10K$15K2018201920202021202220232024
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
201893$10K
2019277$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.