Tonya Omar, PLLC

Tonya Omar, PLLC was paid $9.65M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 50% of everything it billed.

33Billing provider infoTONYA OMAR, PLLC
DURHAM, NC 27707

33aNPI1174710248assigned 10/02/2007

33bProvider typeMental Health Counselor

28Total paid$9.65M

24GClaims51,352

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in North Carolina

Rank by total paid#16 of 321

Median peer was paid$192K

This provider vs. median50×

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	2,843	$578K
2019	3,420	$716K
2020	2,912	$637K
2021	5,476	$974K
2022	11,889	$2.02M
2023	14,420	$2.50M
2024incomplete	10,392	$2.23M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	50%	24,542	2,397	$4.87M
H2022	Community-based wrap-around services, per diem	41%	16,684	1,256	$3.99M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	7.2%	9,321	2,852	$699K
96131		<1%	231	106	$49K
96130		<1%	234	107	$17K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	140	103	$11K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	70	57	$6K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	72	59	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	46	42	$1K
90792	Psychiatric diagnostic evaluation with medical services	<1%	12	12	$1K

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 officialOMAR, TONYA (OWNER)