PT Concepts, PLLC

PT Concepts, PLLC was paid $640K by Medicaid between May 2019 and Dec 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoPT CONCEPTS, PLLC
ROGERS, AR 72758

33aNPI1164931291assigned 09/20/2017

33bProvider typeProfessional Counselor

28Total paid$640K

24GClaims8,521

24DCodes billed4

24AFirst – last monthMay 2019 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Arkansas

Rank by total paid#6 of 56

Median peer was paid$25K

This provider vs. median25×

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
2019	136	$9K
2020	566	$35K
2021	1,604	$105K
2022	2,604	$192K
2023	2,272	$193K
2024incomplete	1,339	$106K

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	98%	8,140	3,704	$626K
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	1.2%	302	191	$8K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	59	45	$4K
H2027	Psychoeducational service, per 15 minutes	<1%	20	13	$2K

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 officialVIVEROS, GABRIELA (DOO)