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NPI 1255583654
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
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 | 4,094 | $335K | |
| 2019 | 3,814 | $298K | |
| 2020 | 2,307 | $181K | |
| 2021 | 2,187 | $168K | |
| 2022 | 2,178 | $183K | |
| 2023 | 2,974 | $290K | |
| 2024incomplete | 491 | $46K |
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 | 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
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.