Behavioral
DR. Lainie Epstein PLLC
DR. Lainie Epstein PLLC was paid $1.60M by Medicaid between Aug 2019 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.
33Billing provider infoDR. LAINIE EPSTEIN PLLC
BERKLEY, MI 48072
BERKLEY, MI 48072
33aNPI1194179572assigned 04/21/2016
33bProvider typePsychologist
28Total paid$1.60M
24GClaims20,550
24DCodes billed3
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Psychologist providers in Michigan
Rank by total paid#16 of 105
Median peer was paid$113K
This provider vs. median14×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration98% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
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 | 400 | $25K | |
| 2020 | 2,379 | $163K | |
| 2021 | 2,889 | $227K | |
| 2022 | 4,983 | $403K | |
| 2023 | 4,937 | $371K | |
| 2024incomplete | 4,962 | $413K |
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% | 20,175 | 7,272 | $1.57M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 351 | 351 | $34K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 24 | 18 | $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 officialEPSTEIN, ELAINE (LICENSED PSYCHOLOGIST)