Shores-Gaston, Renita

Shores-Gaston, Renita was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoSHORES-GASTON, RENITA
ROCKFORD, IL 61108

33aNPI1346614435assigned 11/30/2015

33bProvider typeClinical Social Worker

28Total paid$1.78M

24GClaims18,103

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Illinois

Rank by total paid#8 of 703

Median peer was paid$25K

This provider vs. median71×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

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	672	$39K
2019	1,880	$138K
2020	2,022	$181K
2021	3,334	$341K
2022	3,985	$415K
2023	3,663	$377K
2024incomplete	2,547	$290K

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	100%	18,078	6,171	$1.78M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	25	25	$2K

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.