Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEGACY LCSW COUNSELING SERVICES PC

NPI: 1396080339 · CLIFTON PARK, NY 12065 · Clinical Social Worker · NPI assigned 12/03/2012

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

98% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$1.10M
Total Medicaid Paid
11,535
Total Claims
5,102
Beneficiaries
2
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTOVALL, SHERMAN (OWNER)
NPI Enumeration Date12/03/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 452 $41K
2021 2,445 $223K
2022 3,026 $289K
2023 3,526 $339K
2024 2,086 $208K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 11,318 4,885 $1.07M
90791 Psychiatric diagnostic evaluation 217 217 $26K