FIRST STATE BEHAVIORAL HEALTH CENTER
NPI: 1235640673
· NEWARK, DE 19702
· Professional Counselor
· NPI assigned 10/12/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, AVON (CEO) |
| NPI Enumeration Date | 10/12/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
507 |
$0.00 |
| 2019 |
2,245 |
$94K |
| 2020 |
1,932 |
$174K |
| 2021 |
1,780 |
$178K |
| 2022 |
2,273 |
$226K |
| 2023 |
2,387 |
$209K |
| 2024 |
1,457 |
$125K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
11,159 |
3,416 |
$954K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,368 |
560 |
$45K |
| S5125 |
Attendant care services; per 15 minutes |
54 |
12 |
$6K |