Gaines, Toni

Gaines, Toni was paid $2K by Medicaid between Jan 2020 and Jan 2020, across 1 billing code. Its largest line is 90837, psychotherapy session, about an hour — 100% of everything it billed.

33Billing provider infoGAINES, TONI
RICHMOND, KY 40475

33aNPI1447509385assigned 09/06/2012

33bProvider typeMental Health Counselor

28Total paid$2K

24GClaims44

24DCodes billed1

24AFirst – last monthJan 2020 – Jan 2020

Compared with peers

Next to other Mental Health Counselor providers in Kentucky

Rank by total paid#197 of 204

Median peer was paid$135K

This provider vs. median0.0×

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
2020	44	$2K

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%	44	12	$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.