Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Loya, Carol

Loya, Carol was paid $160K by Medicaid between Jan 2018 and Mar 2021, across 2 billing codes. Its largest line is 90853, Group psychotherapy (other than of a multiple-family group) — 98% of everything it billed.

33Billing provider infoLOYA, CAROL
SPRINGFIELD, MO 65803
33aNPI1245499557assigned 06/03/2008
33bProvider typeProfessional Counselor
28Total paid$160K
24GClaims7,380
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers

Next to other Professional Counselor providers in Missouri

Rank by total paid#55 of 485
Median peer was paid$10K
This provider vs. median16×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,631$34K
20191,530$32K
20203,530$79K
2021689$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90853 Group psychotherapy (other than of a multiple-family group) 98% 7,303 2,314 $156K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.4% 77 37 $4K

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.