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

Ash, Pamela

Ash, Pamela was paid $219K by Medicaid between Dec 2020 and Nov 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 86% of everything it billed.

33Billing provider infoASH, PAMELA
SULPHUR SPRINGS, TX 75482
33aNPI1336764141assigned 06/08/2020
33bProvider typeProfessional Counselor
28Total paid$219K
24GClaims3,118
24DCodes billed4
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers

Next to other Professional Counselor providers in Texas

Rank by total paid#171 of 854
Median peer was paid$56K
This provider vs. median3.9×

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$10K2018201920202021202220232024
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
202031$2K
2021671$45K
20221,089$76K
2023995$70K
2024incomplete332$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 86% 2,448 1,243 $189K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 11% 581 384 $24K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.9% 76 54 $4K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 13 12 $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.