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

Sims, Lori

Sims, Lori was paid $1K by Medicaid between Jun 2019 and Jun 2019, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 65% of everything it billed.

33Billing provider infoSIMS, LORI
OSWEGO, IL 60543
33aNPI1154575660assigned 11/11/2008
33bProvider typeClinical Social Worker
28Total paid$1K
24GClaims46
24DCodes billed2
24AFirst – last monthJun 2019 – Jun 2019
Compared with peers

Next to other Clinical Social Worker providers in Illinois

Rank by total paid#614 of 703
Median peer was paid$25K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
201946$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 65% 28 12 $810.28
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 35% 18 13 $444.54

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.