Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Open Discussion Counseling LLC

Open Discussion Counseling LLC was paid $399K by Medicaid between Jun 2022 and Dec 2024, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoOPEN DISCUSSION COUNSELING LLC
SAINT CHARLES, MO 63301
33aNPI1336740273assigned 11/06/2020
28Total paid$399K
24GClaims3,811
24DCodes billed1
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in Missouri

Rank by total paid#10 of 24
Median peer was paid$156K
This provider vs. median2.6×

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$10K$20K2018201920202021202220232024
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
2022677$63K
20231,559$167K
2024incomplete1,575$169K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 100% 3,811 1,266 $399K

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 officialTHOMPSON, NISHELLE (OWNER)