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

Cowan, Cayce

Cowan, Cayce was paid $210K by Medicaid between Nov 2020 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 88% of everything it billed.

33Billing provider infoCOWAN, CAYCE
SAN ANGELO, TX 76904
33aNPI1285057901assigned 01/31/2014
33bProvider typeProfessional Counselor
28Total paid$210K
24GClaims2,604
24DCodes billed3
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in Texas

Rank by total paid#177 of 854
Median peer was paid$56K
This provider vs. median3.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202080$7K
2021753$57K
2022680$56K
2023612$51K
2024incomplete479$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 88% 2,340 1,497 $184K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 12% 235 222 $24K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 29 26 $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.