Behavioral
Michael Prothero Marriage and Family Therapist and Associates in
Michael Prothero Marriage and Family Therapist and Associates in was paid $2.34M by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.
33Billing provider infoMICHAEL PROTHERO MARRIAGE AND FAMILY THERAPIST AND ASSOCIATES IN
YUBA CITY, CA 95991
YUBA CITY, CA 95991
33aNPI1265694954assigned 06/25/2008
33bProvider typeProfessional Counselor
28Total paid$2.34M
24GClaims24,535
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Professional Counselor providers in California
Rank by total paid#6 of 55
Median peer was paid$135K
This provider vs. median17×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.
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 | 2,800 | $271K | |
| 2019 | 3,908 | $360K | |
| 2020 | 3,866 | $378K | |
| 2021 | 5,086 | $490K | |
| 2022 | 4,239 | $355K | |
| 2023 | 3,045 | $285K | |
| 2024incomplete | 1,591 | $203K |
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 | 99% | 24,349 | 7,360 | $2.32M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 167 | 167 | $21K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19 | 13 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialPROTHERO, MICHAEL (OWNER)