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

Dynamic Changes Counseling LLC

Dynamic Changes Counseling LLC was paid $49K by Medicaid between Feb 2022 and Jul 2024, across 2 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 95% of everything it billed.

33Billing provider infoDYNAMIC CHANGES COUNSELING LLC
WASHINGTON, MO 63090
33aNPI1265925374assigned 06/13/2018
33bProvider typeProfessional Counselor
28Total paid$49K
24GClaims635
24DCodes billed2
24AFirst – last monthFeb 2022 – Jul 2024
Compared with peers

Next to other Professional Counselor providers in Missouri

Rank by total paid#135 of 485
Median peer was paid$10K
This provider vs. median4.8×

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
2022355$26K
2023244$20K
2024incomplete36$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 95% 613 200 $47K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 4.5% 22 13 $2K

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 officialROBERTS, TRACEY (OWNER)