Behavioral
Smith, Justin
Smith, Justin was paid $538K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 32% of everything it billed.
33Billing provider infoSMITH, JUSTIN
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1225450984assigned 01/15/2014
33bProvider typeProfessional Counselor
28Total paid$538K
24GClaims11,390
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Professional Counselor providers in Kentucky
Rank by total paid#65 of 255
Median peer was paid$129K
This provider vs. median4.2×
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 | 705 | $20K | |
| 2020 | 3,112 | $167K | |
| 2021 | 3,897 | $192K | |
| 2022 | 2,853 | $120K | |
| 2023 | 823 | $40K |
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 | 32% | 2,339 | 1,039 | $172K |
| T2023 | Targeted case management; per month | 25% | 400 | 399 | $133K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 1,261 | 741 | $64K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 7.8% | 739 | 387 | $42K |
| 90785 | 6.8% | 4,744 | 1,791 | $37K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 946 | 542 | $36K |
| H0032 | Mental health service plan development by non-physician | 5.1% | 442 | 432 | $27K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 5.0% | 519 | 403 | $27K |
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.