Hayes, Tommel

Hayes, Tommel was paid $360K by Medicaid between Jan 2018 and Jan 2019, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 68% of everything it billed.

33Billing provider infoHAYES, TOMMEL
GOLDSBORO, NC 27534

33aNPI1467789776assigned 11/06/2009

33bProvider typeClinical Social Worker

28Total paid$360K

24GClaims4,057

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Clinical Social Worker providers in North Carolina

Rank by total paid#47 of 291

Median peer was paid$39K

This provider vs. median9.2×

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.

OIG exclusionListed on the federal exclusion list (05/20/2025).

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	3,830	$334K
2019	227	$26K

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	68%	2,221	328	$244K
90846	Family psychotherapy without the patient present, 50 minutes	27%	970	338	$98K
90853	Group psychotherapy (other than of a multiple-family group)	3.8%	833	101	$14K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.4%	33	33	$5K

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.