Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MICHAEL PROTHERO MARRIAGE AND FAMILY THERAPIST AND ASSOCIATES IN

NPI: 1265694954 · YUBA CITY, CA 95991 · Professional Counselor · NPI assigned 06/25/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

$2.34M
Total Medicaid Paid
24,535
Total Claims
7,540
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPROTHERO, MICHAEL (OWNER)
NPI Enumeration Date06/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,591 $203K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 24,349 7,360 $2.32M
90791 Psychiatric diagnostic evaluation 167 167 $21K
90834 Psychotherapy, 45 minutes with patient 19 13 $1K