Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EPIPHANY & COMPANY COUNSELING SERVICES

NPI: 1295206746 · MERRILLVILLE, IN 46410 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/10/2018

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.

$1.36M
Total Medicaid Paid
22,153
Total Claims
4,109
Beneficiaries
3
Codes Billed
2019-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCOOLEY, FRANCESCA (OWNER)
NPI Enumeration Date12/10/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 389 $11K
2020 4,701 $344K
2021 7,247 $360K
2022 5,298 $278K
2023 3,972 $318K
2024 546 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 22,010 3,988 $1.35M
90791 Psychiatric diagnostic evaluation 125 109 $9K
90847 Family psychotherapy with the patient present, 50 minutes 18 12 $1K