Legacy LCSW Counseling Services PC

Legacy LCSW Counseling Services PC was paid $1.10M by Medicaid between Jul 2020 and Nov 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 98% of everything it billed.

33Billing provider infoLEGACY LCSW COUNSELING SERVICES PC
CLIFTON PARK, NY 12065

33aNPI1396080339assigned 12/03/2012

33bProvider typeClinical Social Worker

28Total paid$1.10M

24GClaims11,535

24DCodes billed2

24AFirst – last monthJul 2020 – Nov 2024

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#58 of 882

Median peer was paid$53K

This provider vs. median21×

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 Concentration98% 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
2020	452	$41K
2021	2,445	$223K
2022	3,026	$289K
2023	3,526	$339K
2024incomplete	2,086	$208K

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	98%	11,318	4,885	$1.07M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.4%	217	217	$26K

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.

From NPPES

Who's on the registration

Authorized officialSTOVALL, SHERMAN (OWNER)