SHORES-GASTON, RENITA
NPI: 1346614435
· ROCKFORD, IL 61108
· Clinical Social Worker
· NPI assigned 11/30/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.
$1.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
672 |
$39K |
| 2019 |
1,880 |
$138K |
| 2020 |
2,022 |
$181K |
| 2021 |
3,334 |
$341K |
| 2022 |
3,985 |
$415K |
| 2023 |
3,663 |
$377K |
| 2024 |
2,547 |
$290K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
18,078 |
6,171 |
$1.78M |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$2K |