Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR. LAINIE EPSTEIN PLLC

NPI: 1194179572 · BERKLEY, MI 48072 · Psychologist · NPI assigned 04/21/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

$1.60M
Total Medicaid Paid
20,550
Total Claims
7,641
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEPSTEIN, ELAINE (LICENSED PSYCHOLOGIST)
NPI Enumeration Date04/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 400 $25K
2020 2,379 $163K
2021 2,889 $227K
2022 4,983 $403K
2023 4,937 $371K
2024 4,962 $413K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 20,175 7,272 $1.57M
90791 Psychiatric diagnostic evaluation 351 351 $34K
90834 Psychotherapy, 45 minutes with patient 24 18 $1K