Sylvia, Michael

Sylvia, Michael was paid $788K by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 55% of everything it billed.

33Billing provider infoSYLVIA, MICHAEL
FALMOUTH, MA 02540

33aNPI1336263698assigned 03/19/2007

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$788K

24GClaims7,724

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Massachusetts

Rank by total paid#20 of 118

Median peer was paid$56K

This provider vs. median14×

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

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	1,083	$86K
2019	991	$85K
2020	1,546	$138K
2021	1,056	$96K
2022	855	$104K
2023	1,103	$143K
2024incomplete	1,090	$137K

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	55%	3,684	1,169	$431K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	45%	4,040	1,261	$357K

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.