Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1255583654

1255583654 was paid $1.50M by Medicaid between Jan 2018 and May 2024, across 15 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 72% of everything it billed.

33Billing provider info1255583654
33aNPI1255583654
33bProvider type—
28Total paid$1.50M
24GClaims18,045
24DCodes billed15
24AFirst – last monthJan 2018 – May 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20184,094$335K
20193,814$298K
20202,307$181K
20212,187$168K
20222,178$183K
20232,974$290K
2024incomplete491$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 72% 12,377 5,054 $1.08M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 9.6% 2,094 805 $144K
H0004 Behavioral health counseling and therapy, per 15 minutes 6.7% 1,075 465 $100K
90847 Family psychotherapy with the patient present, 50 minutes 3.2% 632 510 $48K
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 2.4% 524 241 $36K
90885 1.5% 288 239 $23K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.4% 290 189 $21K
90792 Psychiatric diagnostic evaluation with medical services <1% 123 113 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 290 254 $9K
90887 <1% 153 93 $9K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 46 46 $6K
S0220 Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes <1% 67 55 $6K
3 more codes
90846 Family psychotherapy without the patient present, 50 minutes <1% 25 $2K
90832 Psychotherapy session, about 30 minutes <1% 40 $2K
T2020 Day habilitation, waiver; per diem <1% 21 $433.70

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.