Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BE A VERSION OF YOURSELF MENTAL HEALTH COUNSELING, PLLC

NPI: 1366097438 · MIDDLETOWN, NY 10940 · Mental Health Counselor · NPI assigned 08/06/2019

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code 90837 with only 3 total codes billed. Highly concentrated billing profile.

$1.84M
Total Medicaid Paid
22,669
Total Claims
9,192
Beneficiaries
3
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSOTO, MICHAEL (OWNER)
NPI Enumeration Date08/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,398 $391K
2021 6,563 $514K
2022 3,384 $274K
2023 4,557 $320K
2024 3,767 $340K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 20,431 7,687 $1.77M
90791 Psychiatric diagnostic evaluation 478 464 $51K
96138 1,760 1,041 $21K