Behavioral
Baer, Shelly
Baer, Shelly was paid $9.79M by Medicaid between Jan 2018 and Jun 2024, across 33 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 26% of everything it billed.
33Billing provider infoBAER, SHELLY
PADUCAH, KY 42001
PADUCAH, KY 42001
33aNPI1396273272assigned 05/23/2017
33bProvider typeClinical Social Worker
28Total paid$9.79M
24GClaims160,558
24DCodes billed33
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Clinical Social Worker providers in Kentucky
Rank by total paid#5 of 275
Median peer was paid$57K
This provider vs. median170×
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.
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 | 664 | $37K | |
| 2019 | 3,490 | $132K | |
| 2020 | 6,704 | $345K | |
| 2021 | 23,275 | $1.06M | |
| 2022 | 81,401 | $4.87M | |
| 2023 | 37,954 | $2.79M | |
| 2024incomplete | 7,070 | $560K |
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 | 26% | 35,173 | 19,653 | $2.56M |
| H0031 | Mental health assessment, by non-physician | 17% | 25,692 | 14,849 | $1.66M |
| H2020 | Therapeutic behavioral services, per diem | 13% | 6,681 | 1,176 | $1.31M |
| H0032 | Mental health service plan development by non-physician | 8.2% | 12,369 | 7,242 | $801K |
| T2023 | Targeted case management; per month | 8.0% | 2,283 | 1,953 | $781K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.3% | 6,191 | 5,713 | $519K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 5.1% | 8,188 | 3,790 | $495K |
| 90887 | 3.5% | 8,799 | 5,545 | $345K | |
| H0001 | Alcohol and/or drug assessment | 3.0% | 5,113 | 1,151 | $297K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 4,169 | 3,113 | $218K |
| 90785 | 1.6% | 20,690 | 11,239 | $159K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.6% | 4,268 | 2,973 | $155K |
21 more codes
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.5% | 8,499 | $143K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 1.3% | 1,420 | $128K |
| 99354 | <1% | 1,184 | $51K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,543 | $32K |
| 90839 | <1% | 331 | $25K | |
| 96112 | <1% | 377 | $22K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 410 | $22K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 249 | $12K |
| 90840 | <1% | 310 | $11K | |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 624 | $11K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 1,110 | $9K |
| 96113 | <1% | 373 | $9K | |
| 99355 | <1% | 310 | $7K | |
| 96130 | <1% | 160 | $6K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 355 | $3K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 18 | $826.80 |
| 96116 | <1% | 51 | $818.64 | |
| 99407 | <1% | 109 | $816.59 | |
| 96127 | <1% | 2,403 | $763.33 | |
| 96131 | <1% | 14 | $619.62 | |
| 96125 | <1% | 92 | $59.76 |
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.